Individual provider Active NPI

Matthew R Myers, O.D.

  • Corneal and Contact Management Optometrist
  • Williamsville, NY
National Provider Identifier
1306915186
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
NY6604 Issued in NY
Practice address
4243 Transit Rd
Williamsville, NY 14221-7205
Phone
(716) 633-2440
Fax
(716) 633-6109
NPI assigned
Nov 7, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X NY6604 NY Primary

Addresses

Primary practice location

4243 Transit Rd
Williamsville, NY 14221-7205

Mailing address

6484 Kevin CT
Clarence Center, NY 14032-9163

Other identifiers 5

IdentifierTypeStateIssuer
00026988201OtherNYUNIVERA
19920OtherNYNVA
390215004OtherNYBLUE CROSS BLUE SHIELD
735224OtherNYINDEPENDENT HEALTH
NY6604OtherNYEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040406000798 NY Practitioner - Optometry 6204829237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4243 Transit Rd
Williamsville, NY 14221-7205
Phone (716) 633-2440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY6604NYMDCorneal and Contact Management Optometrist
006604NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Council Eye Care Inc CurrentSince Jan 1, 2005 Accepting new patients
Francis Optical Co.Inc. Corneal and Contact Management Past Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Past Accepting new patients

Locations

4243 Transit Rd
Williamsville, NY 14221
Phone (716) 633-2440

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1306915186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6484 KEVIN CT",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 TRANSIT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-633-2440",
            "fax_number": "716-633-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "NY6604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026988201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "19920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "390215004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "735224",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY6604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.