STEVEN JOHN MATTAS


Address: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179
Phone: 5028950040

STEVEN JOHN MATTAS (NPI# 1578547550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578547550
Entity Type Individual
Full Name STEVEN JOHN MATTAS
Credential MD
Practice Address 1935 Bluegrass Ave
Suite 200
Louisville
KY 40215-1179
Practice Telephone 5028950040
Practice Fax Number 5023614488
Mailing Telephone 5028950040
Mailing Fax Number 5023614488
Enumeration Date 2005-12-02
Last Update Date 2013-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 24542 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64245426 05
IN 200380430 05

Office Location

Street Address 1935 BLUEGRASS AVE
SUITE 200
City LOUISVILLE
State KY
Zip Code 40215-1179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730182221 John Andrew Millin Ophthalmology 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 2005-05-27
1740832500 Kelley Elizabeth Sedlock Optometrist 1935 Bluegrass Ave, Louisville, KY 40215-1179 2019-07-11
1083092126 Nikolaos Christos Zagorianos Optometrist 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 2015-05-08
1447668058 Fraser Douglas Mckay Optometrist 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 2014-07-28
1790118842 University Kidney Center Bluegrass LLC Clinic/Center 1935 Bluegrass Ave, Suite 100, Louisville, KY 40215-1191 2013-08-13
1770838732 Ian W Mcwherter Optometrist 1935 Bluegrass Ave, Louisville, KY 40215-1179 2012-07-16
1124290408 Dina A English Counselor 1935 Bluegrass Ave, Louisville, KY 40215-1145 2008-03-27
1023207859 Lawrence Tenkman Ophthalmology 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 2007-10-17
1437346731 Theodore Luckey Counselor 1935 Bluegrass Ave, Louisville, KY 40215-1145 2007-10-01
1952598252 James Wickliffe Counselor 1935 Bluegrass Ave, Louisville, KY 40215-1145 2007-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710257316 Anupa Mandava Ophthalmology 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 2012-01-12
1508133174 Donald L. Kellum Ophthalmology 410 Orchard Dr, Louisville, CO 80027-3248 2011-11-25
1720376338 Thong Diep Pham Ophthalmology 301 East Muhammad Ali Boulevard, Louisville, KY 40201 2011-07-17
1851622914 Martha K Heyburn Ophthalmology 3719 Fairway Ln, Louisville, KY 40207-1414 2010-01-28
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1649431560 Broadway Eye Care Associates, Psc Ophthalmology 2600 W Broadway Ste 105, Louisville, KY 40211-1303 2008-06-23
1164682084 Anne P Rowland Ophthalmology 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 2008-06-13
1093998171 M. Douglas Gossman, Md, Pllc Ophthalmology 2302 Hurstbourne Village Dr Ste 700, Louisville, KY 40299-1878 2007-12-11
1801096136 Kentucky Pediatric Ophthalmology and Strabismus, Pllc Ophthalmology 1102 Lyndon Ln, Suite A, Louisville, KY 40222-4318 2007-07-24
1588862361 Kentucky Eye Surgery Associates Psc Ophthalmology 4940 Hazelwood Avenue, Louisville, KY 40214 2007-07-03
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Competitor

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City LOUISVILLE
Zip Code 40215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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