Matthew Trego, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

OEG-001458 Issued in PA

Practice address

567 E 3Rd St
Williamsport, PA 17701-5316

Phone

(570) 323-8000

Fax

(570) 326-2880

NPI assigned

Feb 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nittany Eye Associates LTDGroup PAC ID 4688740855, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.trego@direct.revolutionehr.com
• Direct secure messaging: tregom2@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nittany Eye Associates LTD

  • Optometrist
  • State College, PA
  • NPI 1619071131

  Low Vision Rehabilitation

  Medicare reassignment Care Compare group NPD
• Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
  • NPI 1285931709

  Low Vision Rehabilitation

  NPD (past)
• Edmonds and Associates

  dba Great Valley Eye Associates

  • Optometrist
  • Drexel Hill, PA
  • NPI 1295828812
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063548790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 WEIKERT RD",
            "city": "MILLMONT",
            "state": "PA",
            "postal_code": "178459311",
            "telephone_number": "570-323-8000",
            "fax_number": "570-326-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015316",
            "telephone_number": "570-323-8000",
            "fax_number": "570-326-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGO",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG-001458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OEG-001458",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Taylor Torbert, MD
• Amy Lynn Totte, APRN
• Mathaus Q Trager, CRNP
• Robert Charles Trautwein, M. D.
• Treewhale LLC (Akasha Center for Holistic Medicine)
• Barbara Treier, CRNA
• Monica Frances Trick, LCSW
• Tricounty Medical Equipment and Supply, LLC (Youngs Medical Equipment)
• Tammera Tripoli
• Katy Elizabeth Troester, LSW

• Low Vision Rehabilitation Optometrist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Low Vision Rehabilitation Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.