Matthew W Gentile Od A Professional Optometric Corporation
NPI 1386143790ActiveOrganization· Optometrist· La Jolla, CA
Optometrist in La Jolla, California, registered in NPPES in February 2018. The authorized official on file is Matthew William Gentile, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1386143790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2018 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Aug 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 8079T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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