Individual provider Active NPI

Matthew L Harkin

  • Optometrist
  • Muncie, IN
National Provider Identifier
1164414207
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002584B Issued in IN
Practice address
2304 N Wheeling Ave
Muncie, IN 47303-1619
Phone
(765) 288-5301
Fax
(765) 284-3460
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002584A IN
Low Vision Rehabilitation Optometrist 152WL0500X 18002584B IN
Optometrist 152W00000X 18002584B IN Primary

Addresses

Primary practice location

2304 N Wheeling Ave
Muncie, IN 47303-1619

Mailing address

2304 N Wheeling Ave
Muncie, IN 47303-1619
Phone (765) 288-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111208000223 IN Practitioner - Optometry 0345384442 Practice locations: Muncie, IN
O20100930071008 IN DME Supplier - Physician - Optometrist 5597882795 Practice locations: Muncie, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 N Wheeling Ave
Muncie, IN 47303-1619
Phone (765) 288-5301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002584BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew L. Harkin Optometrist CurrentSince Jan 1, 1998 Accepting new patients

Locations

2304 N Wheeling Ave
Muncie, IN 47303
Phone (765) 288-5301

Organizations & group practices 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1164414207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031619",
            "telephone_number": "765-288-5301",
            "fax_number": "765-284-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031619",
            "telephone_number": "765-288-5301",
            "fax_number": "765-284-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKIN",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002584A",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18002584B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002584B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.