Individual provider Active NPI

Matthew Scott Edwards, OD

  • Optometrist
  • Ahoskie, NC
National Provider Identifier
1457787756
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2326 Issued in NC
Practice address
1488 Memorial Dr E
Ahoskie, NC 27910-3926
Phone
(252) 332-5618
NPI assigned
Sep 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2326 NC Primary

Addresses

Primary practice location

1488 Memorial Dr E
Ahoskie, NC 27910-3926

Mailing address

1488 Memorial Dr E
Ahoskie, NC 27910-3926
Phone (252) 332-5618

Other identifiers 1

IdentifierTypeStateIssuer
NCH403AOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140502001886 NC Practitioner - Optometry 5294968970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1488 Memorial Dr E
Ahoskie, NC 27910-3926
Phone (252) 332-5618

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as individual
Quality
91.67
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Eye Care OD PLLC Optometrist CurrentSince Jul 5, 2016 Accepting new patients

Locations

1488 Memorial Dr E
Ahoskie, NC 27910
Phone (252) 332-5618

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1457787756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103926",
            "telephone_number": "252-332-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103926",
            "telephone_number": "252-332-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCH403A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.