Southwood Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

14897TLG Issued in CA

Legal business name

SOUTHWOOD OPTOMETRIC CORPORATION

Practice address

4201 Torrance Blvd Ste 580
Torrance, CA 90503-4528

Phone

(310) 316-6726

Fax

(310) 316-6856

NPI assigned

Oct 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Matsunaga, O.D.NPI 1629470018

Title

President/Optometrist

Phone

(310) 316-6726

Specialties & licenses 1

Addresses

Other names 1

• Southwood Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Alan Matsunaga, O.D.

  • Optometrist
  • Torrance, CA
  • NPI 1629470018
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1548630544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 580",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034528",
            "telephone_number": "310-316-6726",
            "fax_number": "310-316-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 580",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034528",
            "telephone_number": "310-316-6726",
            "fax_number": "310-316-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "MATSUNAGA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "310-316-6726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14897TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwood Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern California Center for Anti Aging, Inc.
• Southern California Drug Diversion
• Southern California Drug Diversion
• Southern California Pain Consultants Inc
• Southland Chiropractic
• Southwood Pharmacy Inc
• Sozo Health, Inc.
• Sozo Integrative Wellness
• Robert John Spalding, PA-C
• Sparc Physical Therapy, Inc.

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.