Individual provider Active NPI

Matthew Y. Matsuzaki, O.D.

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1912081670
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5303TPL Issued in CA
Practice address
267 S Euclid Ave
Pasadena, CA 91101-2717
Phone
(626) 449-2020
Fax
(626) 449-2095
NPI assigned
Oct 25, 2006
Last updated
Oct 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5303TPL CA Primary

Addresses

Primary practice location

267 S Euclid Ave
Pasadena, CA 91101-2717

Mailing address

267 S Euclid Ave
Pasadena, CA 91101-2717
Phone (626) 449-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120222000984 CA Practitioner - Optometry 7416169933 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

267 S Euclid Ave
Pasadena, CA 91101-2717
Phone (626) 449-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5303TPLCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1912081670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012717",
            "telephone_number": "626-449-2020",
            "fax_number": "626-449-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012717",
            "telephone_number": "626-449-2020",
            "fax_number": "626-449-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUZAKI",
        "first_name": "MATTHEW",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5303TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.