Individual provider Active NPI

Matthew Ryan Chiapa, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1255818225
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
986 Issued in NV
Practice address
2055 E Windmill LN Ste 105
Las Vegas, NV 89123-2070
Phone
(702) 731-2233
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 986 NV Primary

Addresses

Primary practice location

2055 E Windmill LN Ste 105
Las Vegas, NV 89123-2070

Mailing address

3604 Poe LN
Bakersfield, CA 93311-1431
Phone (661) 565-1100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180924002994 NV Practitioner - Optometry 8426309899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IcarelasvegasGroup PAC ID 9537224571, 2 clinicians
Cory T Steed O D Prof CorpGroup PAC ID 4183602683, 2 clinicians

Practice addresses (Care Compare)

6134 W Lake Mead Blvd
Suite E 8
Las Vegas, NV 89108-2659
Phone (702) 631-4144

9435 W Russell Rd
Suite 100
Las Vegas, NV 89148-5608
Phone (702) 207-2222

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
92.96
Promoting interoperability
97
Improvement activities
40
Cost
68.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
986NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Icarelasvegas Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Eye Associates of Nevada CurrentSince Nov 9, 2018 Accepting new patients
Dr R Dougal Morrison, LTD Optometrist PastSince Jul 23, 2020 Accepting new patients

Locations

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

5175 Blue Diamond Rd
Ste 120
Las Vegas, NV 89139
Phone (702) 331-6030

6134 W Lake Mead Blvd
Ste E8
Las Vegas, NV 89108
Phone (702) 631-4144

Interoperability endpoints

  • Direct secure messaging: matthew.chiapa.p28@direct.avp.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1255818225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 POE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111431",
            "telephone_number": "661-565-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E WINDMILL LN STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232070",
            "telephone_number": "702-731-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAPA",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.