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Ajay Mattu, OD — NPI 1366178121, Longview, TX | NPI Central

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NPI 1366178121

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Ajay Mattu, OD

NPI 1366178121 · Optometrist · Longview, TX

Provider details

NPI number: 1366178121
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No

Specialties & taxonomies

OptometristPrimary152W00000XLicense 10483 (TX)
Eye and Vision Services Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

3032 N Eastman Rd Ste 100

Longview, TX 75605-5024

Phone: (903) 663-2020

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

8614 Westwood Center Dr Fl 9

Vienna, VA 22182-2442

Additional practice locations (2)

3032 N Eastman Rd
Longview, TX 75605-5019
Phone: (903) 663-2020
2304 Judson Rd
Longview, TX 75605-4673
Phone: (903) 758-9090

Registry dates

Enumerated: 2022-07-25
Last updated: 2022-08-09
Certified: 2022-08-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.