Matt W. Conner, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

WA 3338 Issued in WA

Practice address

6201 Summitview Ave
Ste 101
Yakima, WA 98908-3019

Phone

(509) 454-8850

Fax

(509) 452-3293

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1477555704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 SUMMITVIEW AVE",
            "address_2": "STE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083019",
            "telephone_number": "509-454-8850",
            "fax_number": "509-452-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SUMMITVIEW AVE",
            "address_2": "STE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083019",
            "telephone_number": "509-454-8850",
            "fax_number": "509-452-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MATT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "WA 3338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021970",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Healthcare
• Comprehensive Healthcare - Bridges E&T
• Tara Compton, RN, BSN
• Julia Ellen Conduff, APRN, FNP-BC
• Derrick A Conley, LCSW
• Meagan Conner
• Ruth Conner, RN
• Stephanie Connor-Kent, RN
• Amy Coad Conrad, MPT
• Sydney Conti

• Corneal and Contact Management Optometrist in Yakima, WA
• Providers in Yakima, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.

Verify at the official NPI Registry.