Marvin Jay Matson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002636 Issued in MI

Practice address

5224 S Cedar St
Lansing, MI 48911-3862

Phone

(517) 882-0202

Fax

(517) 882-0980

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

Locations

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.

• Marvin J. Matson OD, PC

  • Optometrist
  • Lansing, MI
  • NPI 1326294240
  Medicare reassignment NPD Authorized official
• Pearle Vision Inc

  • Optometrist
  • Lansing, MI
  • NPI 1568517274
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386702421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113862",
            "telephone_number": "517-347-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113862",
            "telephone_number": "517-882-0202",
            "fax_number": "517-882-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "MARVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Mather
• Evelyn Mathew, DDS
• Reena Mathew, DO
• Charles Mathis
• David N Matisoff, MD
• Melissa D Matthews
• Terry Merrill Matthews, D.O.
• David William Mattingley, M.D.
• Addison Grace Mattson
• Edward Louis-James Matusik, NP

• Optometrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.