Individual provider Active NPI

Matthew R Downs, OD

  • Optometrist
  • Mankato, MN
National Provider Identifier
1205857042
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2911 Issued in MN
Practice address
120 N Broad St
Mankato, MN 56001-3518
Phone
(507) 345-5087
Fax
(507) 345-1151
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2911 MN Primary

Addresses

Primary practice location

120 N Broad St
Mankato, MN 56001-3518

Mailing address

220 E Main St
Mankato, MN 56001-3574
Phone (507) 345-5087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20031215000363 MN Practitioner - Optometry 5496652968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 N Broad St
Mankato, MN 56001-3518
Phone (507) 345-5087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Tillisch Eye Clinic, LTD Optometrist CurrentSince Sep 4, 2022 Accepting new patients
Carlson Tillisch Eye Clinic, LTD Optometrist CurrentSince Apr 3, 2024 Accepting new patients
Alex Hutzell, O.D.,P.C. Optometrist PastSince Oct 9, 2022 Accepting new patients
Robert W Creed OD PC Optometrist PastSince Dec 12, 2002 Accepting new patients

Locations

220 E Main St
Mankato, MN 56001
Phone (507) 345-5087

120 N Broad St
Mankato, MN 56001
Phone (507) 345-5087

26 N Broadway St
New Ulm, MN 56073
Phone (507) 354-7407

Interoperability endpoints

  • Direct secure messaging: matthew.downs@direct.revolutionehr.com

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1205857042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013574",
            "telephone_number": "507-345-5087",
            "fax_number": "507-345-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013518",
            "telephone_number": "507-345-5087",
            "fax_number": "507-345-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.