Matthew L Tripp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2886 Issued in CO

Practice address

2800 Folsom St Ste C
Boulder, CO 80304-3768

Phone

(303) 442-6260

Fax

(303) 447-0792

NPI assigned

Nov 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benjamin D. Smith OD, LLCGroup PAC ID 1153549142, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benjamin D. Smith OD, LLC

  • Optometrist
  • Denver, CO
  • NPI 1619216355
  Medicare reassignment Care Compare group NPD
• Front Range Eye Physicians PC

  • Ophthalmology Physician
  • Longmont, CO
  • NPI 1881961316
  Medicare reassignment NPD
• Benjamin D Smith OD LLC

  dba Central Denver Eye Care

  • Optometrist
  • Denver, CO
  • NPI 1043636111
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1053697391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043768",
            "telephone_number": "303-442-6260",
            "fax_number": "303-447-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043768",
            "telephone_number": "303-442-6260",
            "fax_number": "303-447-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tribe Recovery Services Inc
• Tribe Recovery Services, Inc
• Holly Trienens
• Sarah Nichole Trigg
• Trinity Physical Therapy and Wellness LLC
• Jankhana Trivedi
• Christopher A Trojanovich, M.D.
• Trojanovichmd LLC
• Natalie Trombly Trombly, LICSW
• Deborah S Trout

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.