Provider Demographics
NPI:1619129111
Name:BIWER, MATTHEW (OD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:BIWER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11718 BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-2930
Mailing Address - Country:US
Mailing Address - Phone:310-440-9500
Mailing Address - Fax:310-440-4405
Practice Address - Street 1:11718 BARRINGTON CT
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-2930
Practice Address - Country:US
Practice Address - Phone:310-440-9500
Practice Address - Fax:310-440-4405
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI53152W00000X
CA35801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist