Individual provider Active NPI

Matthew Cellar

  • Optometrist
  • Columbus, OH
National Provider Identifier
1164153169
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007082 Issued in OH
Practice address
4708 W Broad St
Columbus, OH 43228-1613
Phone
(614) 878-7771
Fax
(614) 878-4000
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007082 OH Primary

Addresses

Primary practice location

4708 W Broad St
Columbus, OH 43228-1613

Mailing address

PO Box 207170
Dallas, TX 75320-7170
Phone (636) 200-4393

Other practice location 1

6732 Perimeter Loop Rd
Dublin, OH 43017-3202
Phone (614) 798-9940

Other practice location 2

3600 Olentangy River Rd Ste B
Columbus, OH 43214-3437
Phone (614) 451-7244

Other practice location 3

6044 Parkmeadow Ln Ste B
Hilliard, OH 43026-7406
Phone (614) 876-2686

Other practice location 4

81 E Gay St
Columbus, OH 43215-3103
Phone (614) 224-2414

Other practice location 5

105 Morey Dr
Marysville, OH 43040-1647
Phone (937) 642-1916

Other practice location 6

2978 E Broad St
Columbus, OH 43209-1965
Phone (614) 237-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220812002812 OH Practitioner - Optometry 6406239136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007082OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jun 21, 2022 Accepting new patients
Cincinnati Eye Care Team LLC Optometrist Past Accepting new patients

Locations

8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030

2978 E Broad St
Columbus, OH 43209
Phone (614) 237-2099

3600 Olentangy River Rd
Ste B
Columbus, OH 43214
Phone (614) 451-7244

4708 W Broad St
Columbus, OH 43228
Phone (614) 878-7771

81 E Gay St
Columbus, OH 43215
Phone (614) 224-2414

6732 Perimeter Loop Rd
Dublin, OH 43017
Phone (614) 798-9940

6044 Parkmeadow Ln
#B
Hilliard, OH 43026
Phone (614) 876-2686

105 Morey Dr
Marysville, OH 43040
Phone (937) 642-1916

Interoperability endpoints

  • Direct secure messaging: matthewcellar@direct.eyecare-partners.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1164153169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207170",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281613",
            "telephone_number": "614-878-7771",
            "fax_number": "614-878-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6732 Perimeter Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173202",
            "country_code": "US",
            "telephone_number": "614-798-9940",
            "fax_number": "614-798-9913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Olentangy River Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143437",
            "country_code": "US",
            "telephone_number": "614-451-7244",
            "fax_number": "614-545-0749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6044 Parkmeadow Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267406",
            "country_code": "US",
            "telephone_number": "614-876-2686",
            "fax_number": "614-876-2687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 E Gay St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153103",
            "country_code": "US",
            "telephone_number": "614-224-2414",
            "fax_number": "614-224-5916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Morey Dr",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430401647",
            "country_code": "US",
            "telephone_number": "937-642-1916",
            "fax_number": "937-642-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2978 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432091965",
            "country_code": "US",
            "telephone_number": "614-237-2099",
            "fax_number": "614-237-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELLAR",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.