Individual provider Active NPI

Martin M Matus, O.D.

  • Optometrist
  • Arlington HTS, IL
National Provider Identifier
1609872076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140
Phone
(847) 290-1131
Fax
(847) 290-1146
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140

Mailing address

1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140
Phone (847) 290-1131

Other identifiers 1

IdentifierTypeStateIssuer
01636282OtherILBLUE CROSS / BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20051208000193 IL Practitioner - Optometry 4486675345 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1046 S Arlington Heights Rd
Arlington Heights, IL 60005-3139
Phone (847) 290-1131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008214ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin M Matus OD Optometrist PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609872076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053140",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053140",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUS",
        "first_name": "MARTIN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "01636282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.