Individual provider Active NPI

Craig M Match, OD

  • Optometrist
  • Halifax, PA
National Provider Identifier
1437153186
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000037 Issued in PA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OEG000037OtherPASTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081202000344 PA Practitioner - Optometry 5698836260 Receives reassigned benefits from 1 practitioner
Practice locations: Halifax, PA
O20100930031148 PA DME Supplier - Physician - Optometrist 6002935798 Practice locations: Halifax, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Eye Center, P.C. Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Craig M. Match, O.D. Optometrist CurrentSince Mar 10, 2003 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.

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.

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

Sources for this page

Verify at the official NPI Registry.