Matthew S. Pestrue, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003830 Issued in MI

Practice address

3921 Wilder Rd
Bay City, MI 48706-2127

Phone

(989) 684-5526

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487769881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S GREEN RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487089216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062127",
            "telephone_number": "989-684-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTRUE",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alli Perkins
• Danielle Betty Perkins
• Summer Perkins
• Margo Ann Perz-Leonard, LLMSW
• Heather Ann Pestrue
• Peterhans DC LLC
• Stena M Peterhans-Ritt, D.C.
• Isabel Peters
• Megan Elizabeth Peterson, OTR/L MSOT
• Lauren Marie Pfleghaar

• Optometrist in Bay City, MI
• Providers in Bay City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.