Matthew W. Gifford, O.D., P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009054 Issued in IL

Legal business name

MATTHEW W. GIFFORD, O.D., P.C

Practice address

2158 N Damen Ave
Chicago, IL 60647-9597

Phone

(773) 368-6471

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matthew W Gifford, DO

Title

President

Phone

(773) 368-6471

Specialties & licenses 1

Addresses

Other names 1

• Red Eye Eyewear Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita V Patel, OD

  • Optometrist
  • Chicago, IL
  • NPI 1164526562
  NPD

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1013353184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479597",
            "telephone_number": "773-368-6471",
            "fax_number": "773-782-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479597",
            "telephone_number": "773-368-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W. GIFFORD, O.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-368-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Eye Eyewear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Eye Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Degroot O.D. P.C.
• Matthew Frantz, LCPC, LLC
• Matthew J Koscica MD PLLC
• Matthew Tunney Nutrition LLC
• Matthew Vail LCSW PLLC
• Jonathan Matthew, LSW
• Susan Chacko Matthew, ND APN FNP
• Brittany Matthews, LPC
• Charles Matthews, MA
• Erin Matthews, LCSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.