Individual provider Active NPI

Vincent E. Matteucci, M.D.

  • Ophthalmology Physician
  • Bellingham, WA
National Provider Identifier
1366532897
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00039465 Issued in WA
Practice address
3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945
Phone
(360) 733-4800
Fax
(360) 733-2879
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00039465 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945

Mailing address

3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945
Phone (360) 733-4800

Other identifiers 1

IdentifierTypeStateIssuer
8287781MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001255 WA Practitioner - Ophthalmology 2961397021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye Clinic Inc., PSGroup PAC ID 3971498031, 4 clinicians

Practice addresses (Care Compare)

3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1946
Phone (360) 733-4800

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery261
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Clinic Inc., P.S. CurrentSince Aug 1, 2001 Accepting new patients
Northwest Eye Clinic Inc., PS CurrentSince Aug 1, 2001 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 260
Bellingham, WA 98225
Phone (360) 733-4800

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1366532897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "SUITE 260",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-4800",
            "fax_number": "360-733-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "SUITE 260",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-4800",
            "fax_number": "360-733-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEUCCI",
        "first_name": "VINCENT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00039465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8287781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.