Matthew Christopher Aldrich, O.D.
Individual provider Active NPI Optometrist · Wilson, NC
NPI 1457787012 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1457787012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2321 (NC)
- Practice address
- 2402 Montgomery Dr SW
Wilson, NC 27893-4421 - Phone
- (252) 243-2020
- Fax
- (252) 291-2020
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilson Eye Associates Optometrists PA
Practice addresses (Care Compare)
2402 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 243-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140127001278 | NC | Practitioner - Optometry | 3072747138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2321 | NC | MD | Sports Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Eye Associates Optometrists, PA | Optometrist | Current |
Accepting new patients |
Locations
2402 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 243-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2321 | NC | Yes |
Addresses
Primary practice location
2402 Montgomery Dr SW
Wilson, NC 27893-4421
Mailing address
2402 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 243-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457787012 | Medicaid | NC |
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.