1. Home
  2. Directory
  3. New York
  4. Lakewood
  5. Technician Technologist
  6. NPI Profile

KEITH GILBERT MATTOON LICENSED OPTICIAN
NPI 1366958142
Technician/Technologist - Optician in Lakewood, NY

Active since December 16, 2017
350 E FAIRMOUNT AVE, LAKEWOOD, NY 14750(716) 763-0954(716) 763-0953 Get Directions Write a Review

NPPES record last updated: December 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Gilbert Mattoon Licensed Optician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH GILBERT MATTOON LICENSED OPTICIAN (NPI 1366958142) is an individual optician in Lakewood, New York, licensed in New York (008518) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1366958142
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameKEITH GILBERT MATTOONCredential: LICENSED OPTICIAN
Location Address350 E FAIRMOUNT AVELakewood, NY 14750-2134
Mailing Address350 E Fairmount AveLakewood, NY 14750-2134 · (716) 763-0954
Phone(716) 763-0954
Fax(716) 763-0953
Sole ProprietorNo
Enumeration DateDecember 16, 2017
✔ NPI 1366958142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in NY · 008518
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
350 E FAIRMOUNT AVE, Lakewood, NY 14750
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL PHILIP SWANSON RPH
Pharmacist
350 E FAIRMOUNT AVE
LAKEWOOD, NY 14750
Chautauqua County (716) 763-0966
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
350 E FAIRMOUNT AVE
LAKEWOOD, NY 14750
Chautauqua County (716) 763-0966
WAL-MART STORES EAST, LP
Eyewear Supplier
350 E FAIRMOUNT AVE
LAKEWOOD, NY 14750
Chautauqua County (716) 763-0945
ANNE MARIE BRUNENAVS O.D.
Optometrist (Corneal and Contact Management)
350 E FAIRMOUNT AVE
LAKEWOOD, NY 14750
Chautauqua County (716) 763-0954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Mattoon's NPI number?

The NPI number for Keith Mattoon is 1366958142. It was assigned to this individual provider in the NPPES registry on December 16, 2017.

Where is Keith Mattoon located?

Keith Mattoon practices at 350 E Fairmount Ave, Lakewood, NY 14750. The listed phone number is (716) 763-0954.

What is Keith Mattoon's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Keith Mattoon was last updated on December 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.