Active NPI
Matthew Alan Rhodes, O.D.
- Optometrist
- Casa Grande, AZ
National Provider Identifier
1023274800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1644
- Practice address
- 1876 E Sabin Dr BLDG a
Casa Grande, AZ 85222-6197 - Phone
- (713) 248-7152
- NPI assigned
- Aug 1, 2008
- Last updated
- Jul 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1644 | AZ | Primary |
Addresses
Primary practice location
1876 E Sabin Dr BLDG a
Casa Grande, AZ 85222-6197
Mailing address
2149 E la Costa Dr
Gilbert, AZ 85298-9737
Phone (713) 248-7152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1644 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1023274800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 E LA COSTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852989737",
"telephone_number": "713-248-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 E SABIN DR BLDG A",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852226197",
"telephone_number": "713-248-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.