Matthew Sisson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4310ATI Issued in OR

Practice address

901 NW Carlon Ave Ste 2
Bend, OR 97703-2636

Phone

(541) 382-3242

NPI assigned

Oct 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Pacific University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Optic Gallery Spanish Springs LLC

  • Optometrist
  • Sparks, NV
  • NPI 1346997319
  Medicare reassignment NPD
• Lifetime Vision Care

  • Optometrist
  • Bend, OR
  • NPI 1508961731
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255616306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "804-317-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "541-382-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 NE Hidden Creek Dr",
            "address_2": "Apt 104",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247333",
            "country_code": "US",
            "telephone_number": "804-317-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON",
        "first_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "812",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4310ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255616306",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alesin Ellis Ahnert Sinclair, LCSW
• Brett D Singer, MD
• Craig M. Singer, M.D.
• Asha Singh, MD
• Julia Singh, PA-C
• Sisters School District #6
• Emily Kristen Sitler, OTD
• Kristy R Six, DPM
• Bonnie Skakel, N.D., L.AC.
• Ashley Renae Skala

• Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.