| Matthew W Gentile Od A Professional Optometric Corporation | |
|
4150 Regents Park Row Ste 160, La Jolla, CA 92037-9138 | |
| (858) 450-9400 | |
| Not Available |
| Full Name | Matthew W Gentile Od A Professional Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4150 Regents Park Row Ste 160, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386143790 | NPI | - | NPPES |
| 8079T | Other | CA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8079T (California) | Primary |
| Provider Name | Matthew W Gentile |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487615423 PECOS PAC ID: 5395891915 Enrollment ID: I20090923000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew W Gentile Od A Professional Optometric Corporation 4150 Regents Park Row Ste 160, La Jolla, CA 92037-9138 Ph: (858) 450-9400 | Matthew W Gentile Od A Professional Optometric Corporation 4150 Regents Park Row Ste 160, La Jolla, CA 92037-9138 Ph: (858) 450-9400 |
Acuity Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9834 Genesee Ave Ste 428, La Jolla, CA 92037 Phone: 858-457-3010 Fax: 858-457-0028 | |
Justine Simon Bailey Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8950 Villa La Jolla Dr Ste B128, La Jolla, CA 92037 Phone: 858-453-0442 | |
Dr. Olivia Kimberly Do, OD, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 702 Pearl St, Suite G, La Jolla, CA 92037 Phone: 908-938-8177 | |
Dr. Colin Rodney Bernstein, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave, Suite 428, La Jolla, CA 92037 Phone: 858-457-1200 Fax: 858-597-2027 | |
Dr. Lara Dawn Hustana, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9415 Campus Point Dr, La Jolla, CA 92037 Phone: 858-534-6291 Fax: 858-822-4438 | |
Acuity Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 310, La Jolla, CA 92037 Phone: 800-898-2020 Fax: 844-897-3788 | |
Dr. Pamela A Hoo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9415 Campus Point Dr, La Jolla, CA 92037 Phone: 858-534-6290 |