Active NPI
Craig M Match, OD
- Optometrist
- Halifax, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000037
- Practice address
- 901 N River Rd
Halifax, PA 17032-8940 - Phone
- (717) 896-3216
- Fax
- (717) 896-3710
- NPI assigned
- Jun 10, 2005
- Last updated
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000037 | PA | Primary |
Addresses
Primary practice location
901 N River Rd
Halifax, PA 17032-8940
Mailing address
901 N River Rd
Halifax, PA 17032-8940
Phone (717) 896-3216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OEG000037 | Other | PA | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Eye Center, P.C. | Optometrist | Current | Accepting new patients |
| Craig M. Match, O.D. | Optometrist | Current | Accepting new patients |
Locations
901 N River Rd
Halifax, PA 17032
Phone (717) 896-3216
2025 Technology Pkwy
Ste 103
Mechanicsburg, PA 17050
Phone (717) 791-2577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Halifax, PA
- NPI 1245683267
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Halifax, PA
- NPI 1669825683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1437153186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N RIVER RD",
"city": "HALIFAX",
"state": "PA",
"postal_code": "170328940",
"telephone_number": "717-896-3216",
"fax_number": "717-896-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N RIVER RD",
"city": "HALIFAX",
"state": "PA",
"postal_code": "170328940",
"telephone_number": "717-896-3216",
"fax_number": "717-896-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATCH",
"first_name": "CRAIG",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "OEG000037",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Halifax, PA
- Kaynan Natural Therapies LLC
- Kristen Kile
- Jessica Marie Lentz, DPT, LAT, ATC
- Devan Rebecca Lewis
- Hussam Mahmood, DO
- Lara Ann Match, O.D.
- Medical Express Ambulance Service
- Amy Mae Mintmier, DPT
- Mountain View Counseling & Wellness Center
- Pinnacle Health Medical Services (Pinnacle Health Family Care of Halifax)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.