Active NPI
Matthew R Myers, O.D.
- Corneal and Contact Management Optometrist
- Williamsville, NY
National Provider Identifier
1306915186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- NY6604
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026988201 | Other | NY | UNIVERA |
| 19920 | Other | NY | NVA |
| 390215004 | Other | NY | BLUE CROSS BLUE SHIELD |
| 735224 | Other | NY | INDEPENDENT HEALTH |
| NY6604 | Other | NY | EYEMED |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY6604 | NY | MD | Corneal and Contact Management Optometrist |
| 006604 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council Eye Care Inc | Current | 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.
-
- Optometrist
- Williamsville, NY
- NPI 1962696443
-
- Eyewear Supplier
- Niagara Falls, NY
- NPI 1548337017
Corneal and Contact Management
-
dba Southgate Optical
- Optometrist
- West Seneca, NY
- NPI 1710039797
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.