Individual provider Active NPI

Matthew Dennis Skahan, O.D.

  • Optometrist
  • Iola, KS
National Provider Identifier
1528033677
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1631 Issued in KS
Practice address
424 N Washington Ave
Iola, KS 66749-2353
Phone
(620) 365-2108
Fax
(620) 365-2522
NPI assigned
Feb 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1631 KS Primary

Addresses

Primary practice location

424 N Washington Ave
Iola, KS 66749-2353

Mailing address

PO Box 847
424 N Washington
Iola, KS 66749-0847
Phone (620) 365-2108

Other identifiers 3

IdentifierTypeStateIssuer
100453900BMedicaidKS
P00124573OtherKSRAILROAD MEDICARE
512970OtherKSFIRSTGUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100813000699 KS Practitioner - Optometry 3476687369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iola Vision Source, LLCGroup PAC ID 5698765584, 2 clinicians

Practice addresses (Care Compare)

115 N Maple St
Garnett, KS 66032-9405
Phone (785) 448-6879

216 N Jefferson Ave
Iola, KS 66749-2943
Phone (620) 365-2108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1631KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Skahan Eyecare LLC Optometrist CurrentSince Mar 23, 2022 Accepting new patients
Matthew D. Skahan, O.D., P.a. Optometrist CurrentSince Feb 27, 2022 Accepting new patients
Reynolds & Anliker Eye Physicians & Surgeons LLC PastSince Oct 13, 2013 Accepting new patients

Locations

115 N Maple St
Garnett, KS 66032
Phone (785) 448-6879

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528033677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "address_2": "424 N WASHINGTON",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667490847",
            "telephone_number": "620-365-2108",
            "fax_number": "620-365-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N WASHINGTON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492353",
            "telephone_number": "620-365-2108",
            "fax_number": "620-365-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAHAN",
        "first_name": "MATTHEW",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453900B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124573",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "512970",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.