Thomas Paul Mattingly, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01026310A Issued in IN

Practice address

1410 Union St
Lafayette, IN 47904-2060

Phone

(765) 423-2977

Fax

(765) 423-1149

NPI assigned

Jan 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mattingly Center for Sight LLC

  • Ophthalmology Physician
  • Lafayette, IN
  • NPI 1639238165
  NPD (past) Authorized official

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1043298292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042060",
            "telephone_number": "765-423-2977",
            "fax_number": "765-423-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042060",
            "telephone_number": "765-423-2977",
            "fax_number": "765-423-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-07",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01026310A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE",
            "identifier": "351654025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTAGE HEALTH SOLUTION",
            "identifier": "B29527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "351654025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000086144",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "351654025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "35-1654025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "351654025 47904 002",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "351654025",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKinzie Matson, RBT
• Jerome L Mattern, LCSW, LMHC,CRC,CCM
• Stephen J Matthews, MD
• Mattingly Center for Sight LLC
• Mattingly Center for Sight LLC
• Taylor Mattox, RBT
• Kyla Ann Maxey, BS, OBHP
• Blair Elaine Maxwell, PHARMD
• Jordan Maxwell, DO
• Cecilia L. May, MD

• Ophthalmology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Ophthalmology Physician in Indiana

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

Verify at the official NPI Registry.