Matthew B. Newbold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT739 Issued in NM

Practice address

2810 N Telshor Blvd
Las Cruces, NM 88011-8230

Phone

(575) 523-2020

Fax

(575) 521-1553

NPI assigned

Jun 18, 2021

Last updated

Mar 8, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Pacific University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes of the Southwest, PCGroup PAC ID 4284794769, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnewbold@eyesofsw.intellechartdirect.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.

• Eyes of the Southwest, PC

  • Ophthalmology Physician
  • Las Cruces, NM
  • NPI 1780853549
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1083283642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118230",
            "telephone_number": "575-523-2020",
            "fax_number": "575-521-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118230",
            "telephone_number": "575-523-2020",
            "fax_number": "575-521-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Freedom Rd",
            "address_purpose": "LOCATION",
            "city": "Trinidad",
            "state": "CO",
            "postal_code": "810821210",
            "country_code": "US",
            "telephone_number": "719-846-9236",
            "fax_number": "719-846-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "MATTHEW",
        "middle_name": "B.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003708",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41383362",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Mexico Support Network Inc
• New Mexico Therapy Partners
• New Mexico Vein Treatment Center LLC
• New Mommy's Maternity Breastfeeding & Supplies
• New Pathways Counseling
• Stephanie Newell
• Matthew Newman, PT
• Phillis Beatrice Newton, LCSW
• Christine Marie Conrad Newtson, MA., CCC-SLP
• Nexus Counseling Center, LLC

• Optometrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.