Matthew W.Gentile, O.D., A Professional Optometric Corporation
LBN: Matthew W.Gentile, O.D., A Professional Optometric Corporation
Matthew W.Gentile, O.D., A Professional Optometric Corporation is an health care organization with primary practice located at 4150 Regents Park Row Ste 160 , La Jolla CA 92037-9138. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Matthew W.Gentile, O.D., A Professional Optometric Corporation can be contacted via phone (858) 450-9400, or through Gentile, Matthew W via phone (858) 450-9400.
Contact Information
Primary practice address
4150 Regents Park Row Ste 160
La Jolla CA 92037-9138
Phone: (858) 450-9400
Fax:
Website:
Authorized official contact:
Name: Gentile, Matthew W Doctor of Optometry (OD)
Phone: (858) 450-9400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8079T | California |
Profile Details
| NPI number | 1386143790 |
|---|---|
| LBN Legal business name | Matthew W.Gentile, O.D., A Professional Optometric Corporation |
| DBA Doing business as | |
| Authorized official | Gentile, Matthew W Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2018 |
| Last updated | Jun 16th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386143790 | NPPES |
| California | Other | 8079T | LICENSE NUMBER |
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