Lauren Kay Matthews, OD

Key facts

NPI

1104259332

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

OEG002817 (PA)

Practice address

2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821

Phone

(605) 385-3283

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2023.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1104259332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "LAUREN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth Afb, SD

• David John Linkh, LCSW
• Adrianne Rae Littles
• Brandon Joseph Lorenz, DO
• Alexandra Nicole Masters, DMD
• Brian Mathis, CSW
• Dustin Ross Mayne, D.O.
• Audrey McReavy, PA-C
• Nakita L. Meeks
• Caitlin Meyer, DO
• Brianna Lynn Middel

All providers in Ellsworth Afb, SD · Optometrist in South Dakota