Individual provider Active NPI

Jill Geering Matheson, O.D.

  • Optometrist
  • Juneau, AK
National Provider Identifier
1700801420
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AA148 Issued in AK
Practice address
800 Glacier Ave
Juneau, AK 99801-1845
Phone
(907) 586-9864
Fax
(907) 463-2679
NPI assigned
Jul 13, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AA148 AK Primary

Addresses

Primary practice location

800 Glacier Ave
Juneau, AK 99801-1845

Mailing address

800 Glacier Ave
Juneau, AK 99801-1855
Phone (907) 586-9864

Other identifiers 1

IdentifierTypeStateIssuer
OD1481MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20040727000658 AK Practitioner - Optometry 9234117383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Noll OD PCGroup PAC ID 4284049354, 6 clinicians

Practice addresses (Care Compare)

800 Glacier Ave
Suite 203
Juneau, AK 99801-1852
Phone (907) 586-9864

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA148AKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Noll OD PC Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

12320 Old Glenn Hwy
Ste A
Eagle River, AK 99577
Phone (907) 694-2020

800 Glacier Ave
Ste 203
Juneau, AK 99801
Phone (907) 586-9864

214 W Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-6117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1700801420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011855",
            "telephone_number": "907-586-9864",
            "fax_number": "907-463-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GLACIER AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011845",
            "telephone_number": "907-586-9864",
            "fax_number": "907-463-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "JILL",
        "middle_name": "GEERING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD1481",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.