Individual provider Active NPI

Matthew William Hutchinson, O.D.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1285644583
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3804 Issued in FL
Practice address
11212 Park Blvd
Seminole, FL 33772-4752
Phone
(727) 397-8994
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3804 FL Primary

Addresses

Primary practice location

11212 Park Blvd
Seminole, FL 33772-4752

Mailing address

10798 97TH Street
Largo, FL 33773-4534
Phone (727) 412-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040129001009 FL Practitioner - Optometry 3678476355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Barry Case LLCGroup PAC ID 4789994625, 2 clinicians

Practice addresses (Care Compare)

11212 Park Blvd
Seminole, FL 33772-4752
Phone (727) 393-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3804FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Barry Case LLC Optometrist CurrentSince Jan 31, 2024 Accepting new patients
Innovative Eyecare, P.a. Optometrist CurrentSince Feb 18, 2023 Accepting new patients

Locations

800 East Bay Dr
Ste G
Largo, FL 33770
Phone (727) 584-1893

11212 Park Blvd
Seminole, FL 33772
Phone (727) 393-1501

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1285644583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10798 97TH STREET",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734534",
            "telephone_number": "727-412-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724752",
            "telephone_number": "727-397-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-06-25",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.