Individual provider Active NPI

Matthew John Harold Sipola, O.D.

  • Optometrist
  • Virginia, MN
National Provider Identifier
1669819439
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3339 Issued in MN
Practice address
807 N 6TH Ave
Virginia, MN 55792-2308
Phone
(218) 741-5886
Fax
(218) 741-5894
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3339 MN Primary

Addresses

Primary practice location

807 N 6TH Ave
Virginia, MN 55792-2308

Mailing address

807 N 6TH Ave
Virginia, MN 55792-2308
Phone (218) 741-5886

Other practice location 1

405 N 57th Ave W
Duluth, MN 55807-2510
Phone (218) 624-1804

Other practice location 2

1311 E 34th St
Hibbing, MN 55746-3510
Phone (218) 263-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20140523002028 MN Practitioner - Optometry 5496978215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic North Professional AssociationGroup PAC ID 9638471444, 3 clinicians

Practice addresses (Care Compare)

1311 E 34TH St
Hibbing, MN 55746-3510
Phone (218) 263-3633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jul 15, 2015 Accepting new patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

405 N 57th Ave W
Duluth, MN 55807
Phone (218) 624-1804

1330 E 1st St
Duluth, MN 55805
Phone (218) 724-5050

2016 1st Ave
Hibbing, MN 55746
Phone (218) 263-3633

1311 E 34th St
Hibbing, MN 55746
Phone (218) 263-3633

807 N 6th Ave
Virginia, MN 55792
Phone (218) 741-5886

413 Chestnut St
Virginia, MN 55792
Phone (218) 741-5886

Organizations & group practices 2

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1669819439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922308",
            "telephone_number": "218-741-5886",
            "fax_number": "218-741-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922308",
            "telephone_number": "218-741-5886",
            "fax_number": "218-741-5894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N 57th Ave W",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072510",
            "country_code": "US",
            "telephone_number": "218-624-1804",
            "fax_number": "218-624-4548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557463510",
            "country_code": "US",
            "telephone_number": "218-263-3633",
            "fax_number": "218-263-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPOLA",
        "first_name": "MATTHEW",
        "middle_name": "JOHN HAROLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.