NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

James W Mattern, O.D.

Optometrist in Fairfax, VA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104973205

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name James W Mattern
Credential O.D.
Sex Male
Practice address 3025 Hamaker Ct Ste 101, Fairfax, VA, 22031
Fax (703) 876-0163
Enumeration date Jan 4, 2007
Last updated in NPPES Apr 3, 2012

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 0618000912 (VA) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
009237071 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104973205 active?
Yes, as of the latest NPPES snapshot, NPI 1104973205 is active (record last updated 2012-04-03).
How do I verify James Mattern's NPI record?
Cross-check NPI 1104973205 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-03.