David Thomas Matusiewicz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0001202 Issued in DE

Practice address

317 E Main St
Newark, DE 19711-7152

Phone

(302) 737-5777

Fax

(302) 737-0142

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Amy M Farrall OD LLC

  • Optometrist
  • Newark, DE
  • NPI 1841334182
  NPD (past)
• Amy M Farrall OD LLC

  • Optometrist
  • Newark, DE
  • NPI 1841475167
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679648653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117152",
            "telephone_number": "302-737-5777",
            "fax_number": "302-737-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117152",
            "telephone_number": "302-737-5777",
            "fax_number": "302-737-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSIEWICZ",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "510362254 0001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH REGION",
            "identifier": "510362254 19711 A001",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000594145",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0483709",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, INC.",
            "identifier": "4517150",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE DE",
            "identifier": "27415",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Miles Matthews, PT, DPT, MS
• Patrick J Matthews, MD
• Sarah Jean Matthews, M.D.
• Teah Matthews
• Ismael A. Matus, MD
• Casey Maurer
• Jason Antonio Mause, MD
• Cheryl Caprice Maxwell, LMT
• Betsy S. May, DMD
• Byron Nicholas May, NP

• Optometrist in Newark, DE
• Providers in Newark, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.