Active NPI
Matthew David Callewaert, O.D.
- Optometrist
- Kirkland, WA
National Provider Identifier
1548692114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60391555
- Practice address
- 134 Central Way
Kirkland, WA 98033-6106 - Phone
- (425) 889-2020
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 60391555 | WA | Primary |
Addresses
Primary practice location
134 Central Way
Kirkland, WA 98033-6106
Mailing address
2841 N Penstemon St
Wichita, KS 67226-1811
Phone (316) 207-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60391555 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1548692114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 N PENSTEMON ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261811",
"telephone_number": "316-207-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 CENTRAL WAY",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336106",
"telephone_number": "425-889-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLEWAERT",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60391555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.