Individual provider Active NPI

Matthew John Hockett, OD

  • Optometrist
  • Waldorf, MD
National Provider Identifier
1447948518
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2915 Issued in MD
Practice address
3080 Waldorf Market PL
Waldorf, MD 20603-4872
Phone
(301) 843-9112
Fax
(301) 843-9989
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X TA2915 MD Primary

Addresses

Primary practice location

3080 Waldorf Market PL
Waldorf, MD 20603-4872

Mailing address

2017 Westbrooke Ter
Norman, OK 73072-5845

Other practice location 1

1215 Annapolis Rd Ste 103
Odenton, MD 21113-1334
Phone (410) 672-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20231014000560 MD Practitioner - Optometry 8426403221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weinstein Eye Associates LLCGroup PAC ID 2466431127, 6 clinicians

Practice addresses (Care Compare)

10700 Town Ctr Blvd
Dunkirk, MD 20754-2736
Phone (443) 550-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weinstein Eye Associates LLC Optometrist CurrentSince Aug 30, 2023 Accepting new patients

Locations

10700 Town Center Blvd
Dunkirk, MD 20754
Phone (443) 550-1800

1215 Annapolis Rd
Ste 103
Odenton, MD 21113
Phone (301) 672-2515

5743 Crain Hwy
Uppr Marlboro, MD 20772
Phone (301) 627-4485

3080 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 843-9112

Organizations & group practices 1

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1447948518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 WESTBROOKE TER",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "301-843-9112",
            "fax_number": "301-843-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Annapolis Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131334",
            "country_code": "US",
            "telephone_number": "410-672-2515",
            "fax_number": "301-912-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKETT",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.