Individual provider Active NPI

James A. Mathis, O.D.

  • Optometrist
  • Cottonwood, AZ
National Provider Identifier
1316098924
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1409 Issued in AZ
Practice address
2003 E Rodeo Dr
Cottonwood, AZ 86326-5999
Phone
(928) 634-4530
Fax
(928) 634-4532
NPI assigned
Jan 12, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1409 AZ Primary

Addresses

Primary practice location

2003 E Rodeo Dr
Cottonwood, AZ 86326-5999

Mailing address

1925 E Franquero LN
Cottonwood, AZ 86326-6905
Phone (928) 300-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050209000225 AZ Practitioner - Optometry 4284696642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mathis Eye Care LLCGroup PAC ID 0547211559, 2 clinicians

Practice addresses (Care Compare)

2003 E Rodeo Dr
Cottonwood, AZ 86326-5999
Phone (928) 634-4530

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1409AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mathis Eye Care LLC Optometrist CurrentSince Oct 20, 2004 Accepting new patients
Andrus Vision Center PC Optometrist PastSince Jun 21, 2004 Accepting new patients
Clarus Consultants LLC Optometrist Past Accepting new patients

Locations

2003 E Rodeo Dr
Cottonwood, AZ 86326
Phone (928) 634-0440

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1316098924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E FRANQUERO LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266905",
            "telephone_number": "928-300-9059",
            "fax_number": "928-634-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E RODEO DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265999",
            "telephone_number": "928-634-4530",
            "fax_number": "928-634-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.