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Keith Mattoon, LICENSED OPTICIAN
NPI 1366958142 · Optician · Lakewood, NY
Keith Mattoon, LICENSED OPTICIAN is a Optician provider in Lakewood, NY (NPI 1366958142).
Provider details
- NPI number
- 1366958142
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LICENSED OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- 008518 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
350 E Fairmount Ave
Lakewood, NY 14750-2134
Phone: (716) 763-0954
Fax: (716) 763-0953
Street-level locationGet directions
Mailing address
350 E Fairmount Ave
Lakewood, NY 14750-2134
Registry dates
- Enumerated
- 2017-12-16
- Last updated
- 2017-12-16
Frequently asked questions
- What is Keith Mattoon's NPI number?
- Keith Mattoon's National Provider Identifier (NPI) is 1366958142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Mattoon's specialty?
- Keith Mattoon is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Keith Mattoon located?
- Keith Mattoon's practice location on file with NPPES is 350 E Fairmount Ave, Lakewood, NY 14750-2134.
- What is Keith Mattoon's phone number?
- The practice phone number listed in the NPPES registry for Keith Mattoon is (716) 763-0954.
- Is Keith Mattoon's NPI active?
- Yes — Keith Mattoon's NPI (1366958142) is active in the NPPES registry as of the last update on 2017-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.