Organization Active NPI

Martin M Matus OD

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1376636027
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008214 Issued in IL
Legal business name
MARTIN M MATUS OD
Practice address
1046 S Arlington Heights Rd
Arlington Heights, IL 60005-3139
Phone
(847) 290-1131
Fax
(847) 290-1146
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Corinne Gorman
Title
Insurance Biller
Phone
(847) 293-7833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046-008214 IL Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046-009573 IL

Addresses

Primary practice location

1046 S Arlington Heights Rd
Arlington Heights, IL 60005-3139

Mailing address

1046 S Arlington Heights Rd
Arlington Heights, IL 60005-3139
Phone (847) 290-1131

Other identifiers 2

IdentifierTypeStateIssuer
1609872076OtherNPI
1770651036OtherNPI

Other names 1

  • Martin Optical Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

1046 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 290-1131

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1376636027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053139",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053139",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN M MATUS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "847-293-7833"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008214",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609872076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770651036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Optical Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.