Matthew Hulst, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005148 Issued in MI

Practice address

4050 River Rd Ste 1
East China, MI 48054-2931

Phone

(810) 329-9045

Fax

(810) 329-8732

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By 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 MI

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Eye Center PCGroup PAC ID 6204870322, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.48 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

74.92

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Riverside Eye Center PC

  • Ophthalmology Physician
  • East China, MI
  • NPI 1174748081

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1104304328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVER RD STE 1",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542931",
            "telephone_number": "810-329-9045",
            "fax_number": "810-329-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVER RD STE 1",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542931",
            "telephone_number": "810-329-9045",
            "fax_number": "810-329-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4656 24th Ave",
            "address_purpose": "LOCATION",
            "city": "Burtchville",
            "state": "MI",
            "postal_code": "480593402",
            "country_code": "US",
            "telephone_number": "810-385-3600",
            "fax_number": "810-385-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULST",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "4901005148",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health River District Hospital (Henry Ford River District Hospital)
• Henry Ford Health River District Hospital
• Lisa M Herbert, OTR
• Gina Hobbs
• Christina Janelle Horvath, RN
• Bridget Jablinskey, MPT
• Randall Peter Kamlay, OD
• Kenneth MD PLC
• Keystone Dialysis LLC (East China Dialysis)
• Charles W. Killewald, R.PH.

• Optometrist in East China, MI
• Providers in East China, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.