Active NPI
Matthew Christian Willett, M.D.
- Ophthalmology Physician
- Kent, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35095181
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103706 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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 100
- Quality
- 77.53
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 454 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35095181 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Ohio Eye Surgeons, Inc. | Ophthalmology | Current | Accepting new patients |
| Lee Eye Center Inc | Ophthalmology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Ophthalmology Physician
- Stow, OH
- NPI 1073693644
-
- Ophthalmology Physician
- Akron, OH
- NPI 1871888669
-
- Optometrist
- Fairlawn, OH
- NPI 1881912277
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.