Individual provider Active NPI

Matthew Wayne Knecht, O.D.

  • Optometrist
  • Lebanon, OR
National Provider Identifier
1265446025
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3174AT Issued in OR
Practice address
100 Mullins Dr Ste B3
Lebanon, OR 97355
Phone
(541) 451-5808
Fax
(541) 451-5813
NPI assigned
Jul 28, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3174AT OR Primary

Addresses

Primary practice location

100 Mullins Dr Ste B3
Lebanon, OR 97355

Mailing address

100 Mullins Dr Ste B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

Other practice location 1

3290 S Santiam Hwy
Lebanon, OR 97355-3737
Phone (541) 258-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20061122000052 OR Practitioner - Optometry 0648278895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

2400 NW Century Dr
Corvallis, OR 97330-3568
Phone (541) 752-4622

2715 Willetta St SW
Suite B
Albany, OR 97321-3471
Phone (541) 926-5848

2715 Willetta St SW B
Albany, OR 97321-3471

5686 Commercial St SE
Salem, OR 97306-1200
Phone (971) 377-2703

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3174ORMDClinical Psychologist
3174ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Matthew W Knecht LLC CurrentSince Mar 29, 2024 Accepting new patients

Locations

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

3025 Lancaster Dr NE
Salem, OR 97305
Phone (503) 362-5982

Interoperability endpoints

  • Direct secure messaging: matthew.knecht.p1@direct.eca.nextgenshare.com

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, 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1265446025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MULLINS DR STE B3",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552868",
            "telephone_number": "541-451-5808",
            "fax_number": "541-451-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MULLINS DR STE B3",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "541-451-5808",
            "fax_number": "541-451-5813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 S Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553737",
            "country_code": "US",
            "telephone_number": "541-258-7251",
            "fax_number": "541-258-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3174AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.