Bryan Mattison and Rojek PTRS

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004160-1 Issued in NY

Legal business name

BRYAN MATTISON AND ROJEK PTRS

Practice address

11 Church St
Gloversville, NY 12078-3001

Phone

(518) 725-5416

Fax

(518) 725-3811

NPI assigned

Feb 22, 2007

Reactivated

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Gerald G Mattison, OD

Title

Partner

Phone

(518) 725-5416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1982739785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHURCH ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783001",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHURCH ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783001",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MATTISON AND ROJEK PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-02-18",
        "certification_date": "2020-05-04",
        "deactivation_date": "2025-01-28",
        "reactivation_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "MATTISON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-725-5416",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Brogan, RD
• Jessica Lynn Brosat-Hamm
• Lisa Kristen Brownell
• Dean Brumaghim, OD
• Alexis Bruno
• Maria A Bryson
• Hailey Johnna Bugaj-Dunlap
• Krista Joy Bunch
• Linda Burgess
• Tennille Burman, CASAC 2

• Optometrist in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.