Matthew L. Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3132-35 Issued in WI

Practice address

301 N Broadway
Heritage Square Building
De Pere, WI 54115-2557

Phone

(920) 336-7700

Fax

(920) 338-1799

NPI assigned

Oct 10, 2006

Last updated

Apr 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye and Vision Clinics, S.C.Group PAC ID 7911965165, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.52 of 100Reported as individual

Quality

83.05

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye & Vision Clinics, S.C.

  • Optometrist
  • De Pere, WI
  • NPI 1881711588
  Medicare reassignment Care Compare group NPD
• Eye & Vision Clinics, S.C.

  • Optometrist
  • Luxemburg, WI
  • NPI 1447377148
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1194812099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 SAMANTHA ST",
            "address_2": "APT 86",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157413",
            "telephone_number": "312-399-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY",
            "address_2": "HERITAGE SQUARE BUILDING",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152557",
            "telephone_number": "920-336-7700",
            "fax_number": "920-338-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MATTHEW",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1430",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3132-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Muench, MS CCC-SLP
• Teresa A Mulzer, APNP
• MVMT Performance & Rehabilitation
• Ewa Maria Narkiewicz-Jodko, PTA
• Krista Rae Nelson, RN
• Natalie Nelson, M.A.
• Calyssa Nemetz, BCBA
• Patricia Lynn Neuman, DO
• Ellen Neumann
• Michelle Rose Neumann, RN

• Optometrist in De Pere, WI
• Providers in De Pere, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.

Verify at the official NPI Registry.