Individual provider Active NPI

Mathis Wilson Mateus, OD

  • Optometrist
  • Lawrence, MA
National Provider Identifier
1255028668
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5608 Issued in MA
Practice address
360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone
(978) 688-6182
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5608 MA Primary

Addresses

Primary practice location

360 Merrimack St Ste 9
Lawrence, MA 01843-1764

Mailing address

360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

Other practice location 1

451 Andover St
North Andover, MA 01845-5044
Phone (978) 688-6182

Other practice location 2

29 Stiles Rd Ste 101
Salem, NH 03079-5802
Phone (978) 688-6182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230915001020 NH Practitioner - Optometry 1355705963 Reassigns benefits to 1 organization
I20231010000346 MA Practitioner - Optometry 1355705963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians

Practice addresses (Care Compare)

29 Stiles Rd
Suite 101
Salem, NH 03079-5802
Phone (603) 893-7400

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
76.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5608MAMDMental Health Counselor
1082NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Associates, PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Tallman Eye Whittier Past Accepting new patients

Locations

62 Brown St
Ste 205
Haverhill, MA 01830
Phone (978) 499-3810

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste G7
North Andover, MA 01845

505 W Hollis St
Ste 109
Nashua, NH 03062
Phone (603) 882-0311

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

Interoperability endpoints

  • Direct secure messaging: mmateus@tea.ecldirect.net

Organizations & group practices 2

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1255028668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455044",
            "country_code": "US",
            "telephone_number": "978-688-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Stiles Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030795802",
            "country_code": "US",
            "telephone_number": "978-688-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATEUS",
        "first_name": "MATHIS",
        "middle_name": "WILSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.