Organization Active NPI

Matthew J. Emery, OD, P.C.

  • Optometrist
  • Greenville, MI
National Provider Identifier
1053490979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004005 Issued in MI
Legal business name
MATTHEW J. EMERY, OD, P.C.
Practice address
10772 W Carson City Rd
Greenville, MI 48838-9141
Phone
(616) 754-5427
Fax
(616) 754-5428
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Emery, OD
Title
President
Phone
(616) 754-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004005 MI Primary

Addresses

Primary practice location

10772 W Carson City Rd
Greenville, MI 48838-9141

Mailing address

4065 Whirlwind Dr NE
Rockford, MI 49341-8291
Phone (616) 754-5427

National Provider Directory

National Provider Directory

Locations

10772 W Carson City Rd
Greenville, MI 48838
Phone (616) 754-5203

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053490979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 WHIRLWIND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418291",
            "telephone_number": "616-754-5427",
            "fax_number": "616-754-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10772 W CARSON CITY RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389141",
            "telephone_number": "616-754-5427",
            "fax_number": "616-754-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. EMERY, OD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-754-5427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.