Matthew Joseph Martin, OD
Individual provider Active NPI Optometrist · Auburn, MI
NPI 1063409142 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1063409142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004017 (MI)
- Practice address
- 955 W Midland Rd
Auburn, MI 48611-9406 - Phone
- (989) 662-2501
- Fax
- (989) 662-6961
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
955 W Midland Rd
Auburn, MI 48611-9406
Phone (989) 662-2501
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000433 | MI | Practitioner - Optometry | 7911914304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004017 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Optical Co. | Optometrist | Current |
Accepting new patients |
Locations
955 W Midland Rd
Auburn, MI 48611
Phone (517) 662-2501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004017 | MI | Yes |
Addresses
Primary practice location
955 W Midland Rd
Auburn, MI 48611-9406
Mailing address
955 W Midland Rd
Auburn, MI 48611-9406
Phone (989) 662-2501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0Z96514 | Other | MI | BCBS |
Other providers in Auburn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.