Individual provider Active NPI

Rovetta Marie Mattia, OD

  • Optometrist
  • Troy, MI
National Provider Identifier
1366497661
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004081 Issued in MI
Practice address
735 John R Rd Ste 150
Troy, MI 48083-5859
Phone
(248) 577-3659
Fax
(248) 588-9917
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3329 CT
Optometrist 152W00000X 009972 NY
Optometrist 152W00000X I5-0000004 DE
Optometrist 152W00000X 1509 NH
Optometrist 152W00000X OPT-002655 AZ
Optometrist 152W00000X TPOP149 FL
Optometrist 152W00000X RQ004081 MI
Optometrist 152W00000X 4901004081 MI Primary

Addresses

Primary practice location

735 John R Rd Ste 150
Troy, MI 48083-5859

Mailing address

7230 Orchard Lake Rd
West Bloomfield, MI 48322-3603
Phone (248) 661-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ, FL, CT, NH, NY6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20060608000113 MI Practitioner - Optometry 7416969555 Reassigns benefits to 5 organizations
I20230124003202 AZ Practitioner - Optometry 7416969555 Reassigns benefits to 2 organizations
I20230502000632 FL Practitioner - Optometry 7416969555 Reassigns benefits to 1 organization
I20240216003255 CT Practitioner - Optometry 7416969555 Reassigns benefits to 2 organizations
I20251014000381 NH Practitioner - Optometry 7416969555 Reassigns benefits to 1 organization
I20251210004268 NY Practitioner - Optometry 7416969555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Connecticut LLC 70 clinicians
Myeyedr Optometry of Florida, LLC 141 clinicians

Practice addresses (Care Compare)

18 W Avon Rd
Avon, CT 06001-3583
Phone (860) 675-3937

2305 Oleander Blvd
Fort Pierce, FL 34982-5830
Phone (772) 465-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1509NHMDOrthodontics and Dentofacial Orthopedic Dentist
OPT-002655AZMDOptometrist
I5-0000004DEMDOptometrist
TPOP149FLMDOptometrist
4901004081MIMDOptometrist
RQ004081MIMDOptometrist
009972NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Oct 6, 2025 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Apr 18, 2023 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jan 17, 2023 Accepting new patients
Visionworks, Inc CurrentSince Dec 1, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Feb 6, 2024 Accepting new patients
Pcor, LLC Optometrist CurrentSince Mar 14, 2001 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Heritage Optical Center Inc Optometrist CurrentSince Dec 9, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
Pcor LLC Optometrist CurrentSince Mar 14, 2001 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Feb 6, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Apr 18, 2023 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Dec 3, 2025 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jan 17, 2023 Accepting new patients
Empire Vision Center, Inc CurrentSince Dec 3, 2025 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Oct 6, 2025 Accepting new patients
Raffaele Inc CurrentSince Apr 24, 2024 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Past Accepting new patients
Henry Ford Health System PastSince Nov 1, 2020 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Insight Vision Center LLC Optometrist Past Accepting new patients

Locations (25 of 63)

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

85 Lake Havasu Ave N
Ste 108
Lake Havasu City, AZ 86403
Phone (928) 420-8810

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

1825 E Guadalupe Rd
Ste F107
Tempe, AZ 85283
Phone (480) 730-1884

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

18 W Avon Rd
Avon, CT 06001
Phone (860) 673-1667

65 North St
Danbury, CT 06810
Phone (203) 790-9030

2165 Dixwell Ave
Hamden, CT 06514
Phone (203) 248-2727

2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019

747 Boston Post Rd
Madison, CT 06443
Phone (203) 245-1492

54 Park Lane Rd
New Milford, CT 06776
Phone (860) 354-0130

174 Danbury Rd
New Milford, CT 06776
Phone (860) 354-5537

185 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-5000

2162 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 513-1431

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

Interoperability endpoints

  • Direct secure messaging: rmattia13237@direct.hfhs.org
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1366497661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223603",
            "telephone_number": "248-661-5100",
            "fax_number": "215-661-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIA",
        "first_name": "ROVETTA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3329",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009972",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I5-0000004",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1509",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002655",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP149",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "RQ004081",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.