Matthew R Cannon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1147 Issued in NC

Practice address

1401 Haywood Rd
Hendersonville, NC 28791-2335

Phone

(828) 693-5205

Fax

(828) 693-0122

NPI assigned

Oct 19, 2005

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1811319171
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1528057700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HAYWOOD RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912335",
            "telephone_number": "828-693-5205",
            "fax_number": "828-693-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HAYWOOD RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912335",
            "telephone_number": "828-693-5205",
            "fax_number": "828-693-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909078",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Campbell, OTR/L
• Leslie Campbell, MD
• Sausan Tahtawi Campbell, M.D.
• Kimberley Alyse Cannaday, APRN, FNP-C
• James Cannon Jr., DDS
• Tandy Israel Cannon, LCMHC
• Erika Cappelluti, MD
• Stephen Joseph Capps, M.D.
• Cappy'S Holistic Care LLC
• Dovie Delois Carabantes, LCMHCA

• Optometrist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.