Matthew Philibin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5330 Issued in MA

Practice address

27 Memorial Pkwy
Randolph, MA 02368-4539

Phone

(781) 986-7400

Fax

(781) 986-5201

NPI assigned

Aug 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Danvers, MA
  • NPI 1992312268
  NPD
• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  NPD (past)
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Quincy, MA
  • NPI 1679112528
  NPD (past)
• America'S Best Contacts & Eyeglasses

  • Optician
  • Saginaw, MI
  • NPI 1366673485
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1245756014",
    "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",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MEMORIAL PKWY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684539",
            "telephone_number": "781-986-7400",
            "fax_number": "781-986-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Route 137",
            "address_purpose": "LOCATION",
            "city": "E Harwich",
            "state": "MA",
            "postal_code": "026452153",
            "country_code": "US",
            "telephone_number": "508-432-3444",
            "fax_number": "508-432-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIBIN",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110152965A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh Tho T Pham
• Kendall Phan
• Thanhvan T Phan
• Andrea Phaneuf
• Pharmahealth Inc
• Elijah H Philippeaux
• Marie S Phillipe
• Lananh Philpott
• Phoenix Developmental Services, LLC
• Alexandra M Pierce

• Optometrist in Randolph, MA
• Providers in Randolph, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.