Active NPI
Matthew Luke Willis, O.D.
- Optometrist
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1380
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 65.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 70.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | NE | MD | Mental Health Counselor |
| 002558 | IA | MD | Optometrist |
| 2719 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Specialists of Omaha LLC | Optometrist | Current | Accepting new patients |
| Midwest Eye Care PC | Current | Accepting new patients | |
| Vision Specialists of Council Bluffs LLC | Optometrist | Current | Accepting new patients |
| Vision Specialists of Papillion LLC | Optometrist | Current | Accepting new patients |
| Midwest Eye Care, PC | Optometrist | Current | Accepting new patients |
| Northeastern State University College of Optometry | Optometrist | Past | 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.
-
- Optometrist
- Papillion, NE
- NPI 1659859734
-
- Optometrist
- Council Bluffs, IA
- NPI 1831377084
-
- Optometrist
- Omaha, NE
- NPI 1912564212
-
- Optician
- Fremont, NE
- NPI 1669585196
-
- Optometrist
- Council Bluffs, IA
- NPI 1013996156
-
- Optometrist
- Tahlequah, OK
- NPI 1437106333
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.