Individual
DR. CINDY SHERYL MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
540 UNIVERSITY AVE, #110, PALO ALTO, CA 94301-1919
(650) 321-2015
(650) 321-2489
Mailing address
540 UNIVERSITY AVE, #110, PALO ALTO, CA 94301-1919
(650) 321-2015
(650) 321-2489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7002T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66209Z6503212489
BLUE SHIELD NUMBER
CA
Enumeration date
07/05/2006
Last updated
07/08/2007
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