Active NPI
Matthew Alan Christianson, O.D.
- Optometrist
- Latrobe, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002335
- Practice address
- 3804 Route 30
Latrobe, PA 15650-5256 - Phone
- (724) 539-1900
- NPI assigned
- Jul 23, 2010
- Last updated
- Nov 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002335 | PA | Primary |
Addresses
Primary practice location
3804 Route 30
Latrobe, PA 15650-5256
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Ligonier St
Latrobe, PA 15650-1827
Phone (724) 539-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002335 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
Locations
125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780
3887 Route 30
Latrobe, PA 15650
Phone (724) 539-1900
3887 State Route 30
Latrobe, PA 15650
801 Ligonier St
Latrobe, PA 15650
Phone (724) 532-3321
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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.
-
- Optometrist
- Cranberry Township, PA
- NPI 1093688491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1184937732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 ROUTE 30",
"city": "LATROBE",
"state": "PA",
"postal_code": "156505256",
"telephone_number": "724-539-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latrobe, PA
- Rauf A Chaudhry, MD
- Christine Lee Cheng-Florendo, M.D.
- Chestnut Ridge Primary Care, LTD (Chestnut Ridge Primary Care)
- Willeam Anthony Choby, DMD
- Simon Chough, MD
- Christine Cheng-Florendo (Kids Care Pediatrics Incorporated)
- Laurel Church, CRNA
- Michelle Cieslewicz, MA, NCC
- Sofia-Mari Claesson, DO
- Jennifer L. Clegg, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.