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Contact Information

JUSTIN S MATSUURA, OD
7898 BROADWAY
LEMON GROVE, CA91945-1801
 Phone: 619-464-7713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for JUSTIN S MATSUURA · (Male)

NPI # 1215407499
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/29/2018
Last updated 11/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 34023TLG
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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