Matthew D Georgeson PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2983AT Issued in OR

Legal business name

MATTHEW D GEORGESON PC

Practice address

1775 E Idaho Ave
Ontario, OR 97914-3009

Phone

(208) 830-2445

Fax

(541) 889-5286

NPI assigned

Nov 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew D. Georgeson, O.D.

Title

President

Phone

(208) 830-2445

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1013162650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E IDAHO AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E IDAHO AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143009",
            "telephone_number": "208-830-2445",
            "fax_number": "541-889-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D GEORGESON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "GEORGESON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-830-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2983AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Martinez
• Monica Martinez
• Nansi Hernandez Martinez
• Roy Michael Mass, D.C.
• Walter Mathis, PHARMD
• Harmony Kristeen Maxa
• Melissa G McAughty
• Jolayne Rydelle McCoy
• Douglas J McDowall Jr.
• Joshua McDowell, DDS

• Optometrist in Ontario, OR
• Providers in Ontario, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.