Marvin J. Matson OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002636 Issued in MI

Legal business name

MARVIN J. MATSON OD, PC

Practice address

5224 S Cedar St
Lansing, MI 48911-3862

Phone

(517) 882-0202

Fax

(517) 882-0980

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marvin J. Matson, ODNPI 1386702421

Title

President

Phone

(517) 882-0202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin Jay Matson, O.D.

  • Optometrist
  • Lansing, MI
  • NPI 1386702421
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1326294240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113862",
            "telephone_number": "517-882-0202",
            "fax_number": "517-882-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113862",
            "telephone_number": "517-882-0202",
            "fax_number": "517-882-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN J. MATSON OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-882-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Martinez
• Suzanne Rose Martini, RN, MSN, FNP-C
• Angel Martino-Horrall, MD
• April Anne Martino, PA-C
• Kenneth I Marton, O.D.
• Olivia Marvin, DO
• Mary Free Bed Orthotics and Prosthetics
• Mary Free Bed Orthotics and Prosthetics
• Mary J Brown
• Maryrose Hecksel, Aud, LLC

• Optometrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.