Active NPI
Dennis E Mathews, OD
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1000
- Practice address
- 825 Ridge Lake Blvd
Memphis, TN 38120-9411 - Phone
- (901) 685-2200
- Fax
- (901) 820-2342
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 675 | MS | |
| Optometrist | 152W00000X | 1000 | TN | Primary |
Addresses
Primary practice location
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Mailing address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 675 | Other | MS | OD LICENSE |
| 410022830 | Other | TN | RR MEDICARE |
| 111234722 | Medicaid | AR | |
| 3124319 | Other | TN | BCBSTN |
| 1000 | Other | TN | OD LICENSE |
| P01120062 | Other | MS | RR MEDICARE |
| 00087009 | Medicaid | MS | |
| 3595763 | Medicaid | TN | |
| 316826809 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 86.03
- Improvement activities
- 40
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675 | MS | MD | Optometrist |
| 1000 | TN | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRF Eye Specialty Group, PLC | Optometrist | Current | Accepting new patients |
| VRF Eye Specialty Group, PLC | Optometrist | Current | Accepting new patients |
Locations
412 Central Ave
Coldwater, MS 38618
Phone (662) 622-5173
6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300
7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901
391 Southcrest Cir
Ste 108
Southaven, MS 38671
Phone (662) 349-0910
7600 Airways Blvd
Ste C
Southaven, MS 38671
Phone (901) 683-4600
1458 W Poplar Ave
Ste 101
Collierville, TN 38017
825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150
5146 Stage Rd
Ste 101
Memphis, TN 38134
Phone (901) 377-3475
1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250
825 Ridge Lake Blvd
Ste 200
Memphis, TN 38120
Interoperability endpoints
- drmathews@esg.emadirect.md
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 and National Provider Directory roles.
-
- Optometrist
- Hernando, MS
- NPI 1255954863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184617367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 RIDGE LAKE BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209411",
"telephone_number": "901-685-2200",
"fax_number": "901-820-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 RIDGE LAKE BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209411",
"telephone_number": "901-685-2200",
"fax_number": "901-820-2342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "DENNIS",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "675",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OD LICENSE",
"identifier": "675",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410022830",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111234722",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "3124319",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OD LICENSE",
"identifier": "1000",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01120062",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00087009",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3595763",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316826809",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.