Individual provider Active NPI

Matthew Cody Kidd, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1326488669
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6206 Issued in OH
Practice address
17273 State Route 104
Chillicothe, OH 45601-9718
Phone
(740) 773-1141
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6206 OH Primary

Addresses

Primary practice location

17273 State Route 104
Chillicothe, OH 45601-9718

Mailing address

5363 Davenport LN
Dublin, OH 43016-7809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140730001057 CT Practitioner - Optometry 3678799574 Reassigns benefits to 1 organization
I20230731000474 MA Practitioner - Optometry 3678799574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Eye Associates IncGroup PAC ID 0446293542, 5 clinicians

Practice addresses (Care Compare)

3640 Main St
Suite 205
Springfield, MA 01107-1139
Phone (413) 739-7367

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Eye Associates Inc CurrentSince Sep 1, 2023 Accepting new patients
Solinsky Eyecare LLC Optometrist CurrentSince Jul 21, 2014 Accepting new patients
Solinsky Eyecare LLC CurrentSince Jul 21, 2014 Accepting new patients

Locations

1013 Farmington Ave
West Htfd, CT 06107
Phone (860) 236-9000

3640 Main St
Ste 205
Springfield, MA 01107
Phone (413) 739-7367

Interoperability endpoints

  • Direct secure messaging: mk@springfieldeye.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1326488669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 DAVENPORT LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019718",
            "telephone_number": "740-773-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "MATTHEW",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.