Individual provider Active NPI

Matthew Robert Waner, O.D.

  • Optometrist
  • Morehead City, NC
National Provider Identifier
1023120755
Registry record updated Jun 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2053 Issued in NC
Practice address
300 Hwy 24
Morehead City, NC 28557-2551
Phone
(252) 622-4358
Fax
(252) 622-4359
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2053 NC Primary

Addresses

Primary practice location

300 Hwy 24
Morehead City, NC 28557-2551

Mailing address

300 Hwy 24
Morehead City, NC 28557-2551
Phone (252) 622-4358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20080414000377 NC Practitioner - Optometry 1951488097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waner Family Eye Care O.D., PLLCGroup PAC ID 2769569805, 2 clinicians

Practice addresses (Care Compare)

300 NC Hwy 24
Morehead City, NC 28557-2551
Phone (252) 622-4358

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2053NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Waner Family Eye Care O.D., PLLC Optometrist CurrentSince Apr 1, 2008 Accepting new patients

Locations

300 NC Highway 24
Morehead City, NC 28557
Phone (252) 247-0511

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245542400000",
    "number": "1023120755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HWY 24",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572551",
            "telephone_number": "252-622-4358",
            "fax_number": "252-622-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HWY 24",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572551",
            "telephone_number": "252-622-4358",
            "fax_number": "252-622-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANER",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.