Individual provider Active NPI

Matthew R Marshall, O.D.

  • Optometrist
  • Tyler, TX
National Provider Identifier
1184936353
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7831 Issued in TX
Practice address
3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone
(903) 526-0444
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7831 TX Primary

Addresses

Primary practice location

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435

Mailing address

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone (903) 526-0444

Other practice location 1

3415 Golden Rd
Tyler, TX 75701-8355
Phone (903) 526-0444

Other practice location 2

1240 S Palestine St
Athens, TX 75751-3619
Phone (903) 526-0444

Other practice location 3

2394 H G Mosley Pkwy
Longview, TX 75604-3661
Phone (903) 526-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111025000158 TX Practitioner - Optometry 7214119411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles L. Heaton, M.D. P.a.Group PAC ID 1557257615, 18 clinicians

Practice addresses (Care Compare)

1240 S Palestine St
Athens, TX 75751-3619
Phone 90352604442111

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone 90352604442111

3415 Golden Rd
Tyler, TX 75701-8355

Merit-based Incentive Payment System (MIPS)

Final score
91.74 of 100Reported as individual
Quality
84.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7831TXMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charles L. Heaton , M.D. P.a. CurrentSince Oct 1, 2011 Accepting new patients
Charles L. Heaton , M.D. P.a. Optometrist PastSince Jul 24, 2022 Accepting new patients

Locations

1240 S Palestine St
Athens, TX 75751
Phone (903) 526-0444

2394 H G Mosley Pkwy
Longview, TX 75604
Phone (903) 234-0771

3415 Golden Rd
Tyler, TX 75701
Phone (903) 526-0444

3355 Earl Campbell Pkwy
Tyler, TX 75701
Phone (903) 526-0444

Interoperability endpoints

  • Direct secure messaging: matthew.marshall@direct.heatoneye.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1184936353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444",
            "fax_number": "903-595-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 Golden Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018355",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "fax_number": "903-526-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757513619",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2394 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756043661",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.