Matthew John Maki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003321 Issued in MI

Practice address

307 N Ball St
Owosso, MI 48867-2801

Phone

(989) 723-1101

Fax

(989) 723-1665

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Owosso, P.C.Group PAC ID 5193798593, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Care Associates of Owosso, P.C.

  • Optometrist
  • Owosso, MI
  • NPI 1578690707
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023036159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N BALL ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672801",
            "telephone_number": "989-723-1101",
            "fax_number": "989-723-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BALL ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672801",
            "telephone_number": "989-723-1101",
            "fax_number": "989-723-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4723404",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas L Luchenbill
• Barbara Jeanne Lund, BSA,SW
• Kimberly Ann Macal, RD, CDE
• Oscar Enrique Macal, M.D.
• Caitlyn Mack
• Olina Mallory
• Erin Sean Malone, D.C.
• Ariel Jean Manausa
• Michelle Ranae Mandley, MSWL
• Steven Mandley, P.T.

• Optometrist in Owosso, MI
• Providers in Owosso, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.