Active NPI
Heather Leanne Matalka, O.D.
- Optometrist
- Hoover, AL
National Provider Identifier
1245688530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-D50-TA-A61
- Practice address
- 1230 Atkins Trimm Blvd
Hoover, AL 35226-2015 - Phone
- (256) 283-4633
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | S-D50-TA-A61 | AL | Primary |
Addresses
Primary practice location
1230 Atkins Trimm Blvd
Hoover, AL 35226-2015
Mailing address
1230 Atkins Trimm Blvd
Hoover, AL 35226-2015
Phone (256) 283-4633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-D50-TA-A61 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matalka Family Eye Care, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Hoover, AL
- NPI 1396281952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1245688530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 ATKINS TRIMM BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352262015",
"telephone_number": "256-283-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 ATKINS TRIMM BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352262015",
"telephone_number": "256-283-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATALKA",
"first_name": "HEATHER",
"middle_name": "LEANNE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-D50-TA-A61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.