Individual provider Active NPI

Matthew Luke Willis, O.D.

  • Optometrist
  • Papillion, NE
National Provider Identifier
1013204890
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1380 Issued in NE
Practice address
120 Olson Dr
Papillion, NE 68046-2960
Phone
(402) 504-4257
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002558 IA
Optometrist 152W00000X 1380 NE Primary

Addresses

Primary practice location

120 Olson Dr
Papillion, NE 68046-2960

Mailing address

2514 W Broadway
Council Bluffs, IA 51501-3509
Phone (712) 322-3097

Other practice location 1

3606 N 156th St Ste 105
Omaha, NE 68116-2163
Phone (402) 205-0754

Other practice location 2

2514 W Broadway
Council Bluffs, IA 51501-3509
Phone (712) 322-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120920000232 NE Practitioner - Optometry 8426220310 Reassigns benefits to 3 organizations
I20240826001994 IA Practitioner - Optometry 8426220310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Specialists of Papillion LLCGroup PAC ID 8729320411, 6 clinicians
Vision Specialists of Council Bluffs LLCGroup PAC ID 4183793938, 6 clinicians
Midwest Eye Care PCGroup PAC ID 8628960572, 24 clinicians

Practice addresses (Care Compare)

120 Olson Dr
Suite 107
Papillion, NE 68046-2961
Phone (402) 897-6375

2514 W Broadway
Council Bluffs, IA 51501-3509
Phone (712) 322-3097

4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020

715 Harmony St
Suite 300
Council Bluffs, IA 51503-3147
Phone (402) 552-2020

Merit-based Incentive Payment System (MIPS)

Final score
78.02 of 100Reported as group
Quality
65.69
Promoting interoperability
89
Improvement activities
40
Cost
70.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1380NEMDMental Health Counselor
002558IAMDOptometrist
2719OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Specialists of Omaha LLC Optometrist CurrentSince Apr 1, 2026 Accepting new patients
Midwest Eye Care PC CurrentSince Aug 1, 2012 Accepting new patients
Vision Specialists of Council Bluffs LLC Optometrist CurrentSince Apr 1, 2026 Accepting new patients
Vision Specialists of Papillion LLC Optometrist CurrentSince Apr 1, 2026 Accepting new patients
Midwest Eye Care, PC Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients
Midwest Eye Care, PC Optometrist Past Accepting new patients

Locations

715 Harmony St
Ste 300
Council Bluffs, IA 51503
Phone (712) 388-2600

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2514 W Broadway
Council Bluffs, IA 51501
Phone (712) 227-6340

3606 N 156th St
Ste 105
Omaha, NE 68116
Phone (402) 205-0754

18111 Q St
Omaha, NE 68135
Phone (402) 891-2348

3606 N 156th St
Omaha, NE 68116
Phone (402) 205-0754

4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599

120 Olson Dr
Ste 107
Papillion, NE 68046
Phone (402) 504-4257

120 Olson Dr
Papillion, NE 68046
Phone (402) 504-4257

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • CO HMO
  • IA HMO C-SNP
  • IA HMO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • CO HMO D-SNP

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1013204890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013509",
            "telephone_number": "712-322-3097",
            "fax_number": "712-322-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLSON DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462960",
            "telephone_number": "402-504-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 N 156th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681162163",
            "country_code": "US",
            "telephone_number": "402-205-0754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2514 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515013509",
            "country_code": "US",
            "telephone_number": "712-322-3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MATTHEW",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002558",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.