Individual provider Active NPI

Matthew Christian Willett, M.D.

  • Ophthalmology Physician
  • Kent, OH
National Provider Identifier
1457541104
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35095181 Issued in OH
Practice address
2013 State Route 59
Kent, OH 44240-4113
Phone
(330) 678-0201
Fax
(330) 678-4272
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35095181 OH Primary

Addresses

Primary practice location

2013 State Route 59
Kent, OH 44240-4113

Mailing address

2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201

Other identifiers 1

IdentifierTypeStateIssuer
3103706MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000049 OH Practitioner - Ophthalmology 5991837957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
77.53
Promoting interoperability
96
Improvement activities
40
Cost
77.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35095181OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Eye Surgeons, Inc. Ophthalmology CurrentSince Jul 11, 2011 Accepting new patients
Lee Eye Center Inc Ophthalmology CurrentSince May 16, 2024 Accepting new patients
Allen Health Associates Past Accepting new patients

Locations

4099 Embassy Pkwy
Akron, OH 44333
Phone (330) 835-1844

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

49126 Calcutta Smithferry Rd
East Liverpool, OH 43920
Phone (330) 382-0573

2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185

4277 Allen Rd
Stow, OH 44224
Phone (330) 928-0201

4441 Hudson Dr
Stow, OH 44224
Phone (330) 920-4500

8135 Market St
Youngstown, OH 44512
Phone (330) 758-0900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mwillett38122@ehrdirect.uhhospitals.org

Organizations & group practices 7

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1457541104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35095181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.