Active NPI
Matthew Reed Parsons, MD
- Ophthalmology Physician
- Provo, UT
National Provider Identifier
1063483071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 901823741205
- Practice address
- 1735 N State St
Provo, UT 84604-1010 - Phone
- (801) 374-1818
- Fax
- (801) 379-2959
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 901823741205 | UT | Primary |
Addresses
Primary practice location
1735 N State St
Provo, UT 84604-1010
Mailing address
1735 N State St
Provo, UT 84604-1010
Phone (801) 374-1818
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0000024029 | Other | UT | ALTIUS |
| 87028357684604A001 | Other | UT | TRICARE |
| 0800053 | Other | UT | UNITED HEALTHCARE |
| 107006748102 | Other | UT | SELECT HEALTH |
| 220419 | Other | UT | DMBA |
| 870283576PA1 | Other | UT | EMIA |
| 9662901004 | Other | UT | CIGNA |
| 4625744 | Other | UT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901823741205 | UT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1063483071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846041010",
"telephone_number": "801-374-1818",
"fax_number": "801-374-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846041010",
"telephone_number": "801-374-1818",
"fax_number": "801-379-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "MATTHEW",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "901823741205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000024029",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "87028357684604A001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800053",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107006748102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "220419",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870283576PA1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9662901004",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4625744",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.