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Contact Information

BLAKE MATHERNE, MD
3636 S I 10 SERVICE RD W STE 204
METAIRIE, LA70001-6418
 Phone: 504-218-4936
 Fax: 504-218-8241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BLAKE MATHERNE · (Male)

NPI Number 1265933626
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2018
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 349073
  • MS License # 28777
  • MS Medicaid 00772323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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