Kevin R Mathisson MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

198609 Issued in NY

Legal business name

KEVIN R MATHISSON MD PC

Practice address

455 Central Park Ave Ste 317
Scarsdale, NY 10583-1060

Phone

(914) 723-2020

Fax

(914) 723-2011

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin R Mathisson, M.D.NPI 1326076639

Title

President

Phone

(914) 723-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Kevin R Mathisson, M.D.

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1326076639
  Medicare reassignment Care Compare group NPD Authorized official
• Sabine Khan, MD

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1275915845
  Medicare reassignment Care Compare group NPD
• Carol A Lundin, MD

  • Ophthalmology Physician
  • Hawthorne, NY
  • NPI 1437180049
  Medicare reassignment Care Compare group NPD
• Thomas Carey Dunn, MD

  • Ophthalmology Physician
  • Scarsdale, NY
  • NPI 1861131765
  Medicare reassignment NPD

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1023288610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE STE 317",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-723-2020",
            "fax_number": "914-723-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE STE 317",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-723-2020",
            "fax_number": "914-723-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN R MATHISSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MATHISSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-723-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "198609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kelly, RN, IBCLC
• Richard L Kennedy, D.D.S.
• Kensington Psychology PLLC
• Kruan Christie Keolamphu, MD
• Jane Marie Kersting, M.A.,CCC-SLP
• Sabrina Khader, OTR/L
• Sabine Khan, MD
• Yasir Usman Khan, D.M.D.
• Kathleen Darcy Kiely, PT
• Hyung S Kim X, RPH

• Ophthalmology Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.