Lori Lynn Matsuno, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8800T Issued in CA

Practice address

210 S Grand Ave
Suite 115
Glendora, CA 91741-4263

Phone

(626) 857-0234

Fax

(626) 857-0857

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard L Forgey Lori L Matsuno PartnershipGroup PAC ID 8820158876, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard L Forgey Lori L Matsuno Partnership

  • Optometrist
  • Glendora, CA
  • NPI 1295984318
  Medicare reassignment Care Compare group NPD Authorized official
• Richard L. Forgey Lori L. Matsuno Partnership

  • Eyewear Supplier
  • Glendora, CA
  • NPI 1932246279
  NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1770656357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 115",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414263",
            "telephone_number": "626-857-0234",
            "fax_number": "626-857-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 115",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414263",
            "telephone_number": "626-857-0234",
            "fax_number": "626-857-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUNO",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8800T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Almonte Martinez
• Linda Emiko Martinez
• Gina Maria Mastrangelo, C.A.T.C.
• Katherine Mata
• Matrix Rehabilitation, Inc.
• Sally Waffik Matter, P.T.
• Mayank J. Vakil, MD
• Debra Lynn Mayhew, HAD
• Maymar Hearing Aid Corporation
• Kristen McAleenan, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.