Gerald G Mattison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004160-1 Issued in NY

Practice address

206 Lake Ave
Saratoga Springs, NY 12866-2627

Phone

(518) 584-2620

Fax

(518) 584-3979

NPI assigned

Feb 15, 2007

Last updated

May 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hometown Primary Optometry PLLC

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1568356228
  Medicare reassignment NPD Authorized official
• Hometown Primary Optometry PLLC

  • Optometrist
  • Gloversville, NY
  • NPI 1033003793
  NPD Authorized official
• Hometown Primary Optometry PLLC

  • Optometrist
  • Cambridge, NY
  • NPI 1164316824
  NPD Authorized official
• Bryan Mattison and Rojek PTRS

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1275668824
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1740323047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662627",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662627",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "NY",
            "postal_code": "128161168",
            "country_code": "US",
            "telephone_number": "518-677-5422",
            "fax_number": "518-677-5134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Church St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120783049",
            "country_code": "US",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "GERALD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004160-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00816211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Edward Mathiesen, D.M.D.
• Katherine Matousek
• Matt E. Smith Chiropractic PLLC
• Abigail Anne Matthews, NP
• Maclaine Danielle Hammond Matties, RN
• Janice Mattson, LCSW
• Mikhail Mavashev, MD
• Camille Diane Maxwell, M.S.
• Margaret E Mayo, LCSW
• Dana McAleese

• Optometrist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.