Individual provider Active NPI

Matthew Lawrence Diggory, O.D.

  • Optometrist
  • Redlands, CA
National Provider Identifier
1255887857
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33521-TLG Issued in CA
Practice address
1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125
Phone
(909) 363-1450
NPI assigned
Sep 1, 2016
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33521-TLG CA Primary

Addresses

Primary practice location

1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20161026003013 TX Practitioner - Optometry 9537447586 Reassigns benefits to 1 organization
I20170712001754 CA Practitioner - Optometry 9537447586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

1845 W Redlands Blvd
Suite 101
Redlands, CA 92373-3125
Phone (909) 363-1450

9170 Haven Ave
Suite 102
Rancho Cucamonga, CA 91730-5416
Phone (909) 440-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33521-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 21, 2016 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

150 S Grand Ave
Ste J
Glendora, CA 91741
Phone (626) 335-2114

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

73950 Alessandro Dr
Ste 5
Palm Desert, CA 92260
Phone (760) 568-3334

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450

4351 Latham St
#101
Riverside, CA 92501

6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154

6900 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 682-4353

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matthew.diggory.p1@direct.atlantiseyecare.nextgenshare.com

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1255887857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733125",
            "telephone_number": "909-363-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGORY",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33521-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.