Individual provider Active NPI

Matthew Palmer, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1093970931
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1627 Issued in AZ
Practice address
1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone
(480) 833-9100
Fax
(480) 833-6000
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1627 AZ Primary

Addresses

Primary practice location

1055 S Stapley Dr
Mesa, AZ 85204-5013

Mailing address

2610 E University Dr
Mesa, AZ 85213-8436
Phone (480) 892-8400

Other identifiers 1

IdentifierTypeStateIssuer
1627OtherAZAZ LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080813000804 AZ Practitioner - Optometry 8527133362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

3301 N Miller Rd
Suite 140
Scottsdale, AZ 85251-6457
Phone (480) 947-7651

40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661
Phone (928) 855-9477

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2020 Accepting new patients
Southwestern Eye Center LTD Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Southwestern Eye Center LTD Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations (25 of 33)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

5620 W Thunderbird Rd
Ste C5
Glendale, AZ 85306
Phone (602) 274-4992

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

2610 E University Dr
Mesa, AZ 85213

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

2302 N 75th Ave
Ste 110
Phoenix, AZ 85035
Phone (480) 854-8185

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

3301 N Miller Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 945-8440

3301 N Miller Rd
Scottsdale, AZ 85251
Phone (480) 560-8958

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

Interoperability endpoints

  • Direct secure messaging: matthew.palmer.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: matthew.palmer@direct.avp.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1093970931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138436",
            "telephone_number": "480-892-8400",
            "fax_number": "480-892-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045013",
            "telephone_number": "480-833-9100",
            "fax_number": "480-833-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE NUMBER",
            "identifier": "1627",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.