Matthew Woodruff Oblad, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 12847 TPA Issued in CA

Practice address

112 N Akers St
Suite a
Visalia, CA 93291-5121

Phone

(559) 733-4372

Fax

(559) 733-1758

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David H. Steed, O.D

  • Optometrist
  • Tulare, CA
  • NPI 1710598172
  NPD (past)
• John Hawley Optometric Corporation

  • Optometrist
  • Bakersfield, CA
  • NPI 1295926939
  NPD (past)
• Steven J Lessley OD

  • Durable Medical Equipment & Medical Supplies
  • Tulare, CA
  • NPI 1215105994
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366472938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N AKERS ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-733-4372",
            "fax_number": "559-733-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N AKERS ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-733-4372",
            "fax_number": "559-733-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLAD",
        "first_name": "MATTHEW",
        "middle_name": "WOODRUFF",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12847 TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "D3912075",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENFICATION NUMBER",
            "identifier": "73-1728125",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "SD0128470",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0128470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Haven Medical Group Inc
• Oakstone Psychiatric Practice
• Oakview Medical Group a Medical Corporation
• Joshua O. Obamedo, MD
• Hope Obermiller
• Elizabeth Ocampo
• Phillip Daniel Ocaranza, RADT
• Albert Ochoa
• Bianca C. Ochoa
• Jose B Ochoa, L.C.S.W.

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.