Active NPI
Michael Nyle Matthews, O.D.
- Optometrist
- Las Cruces, NM
National Provider Identifier
1750363594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 522
- Practice address
- 2926 Hillrise Dr
Las Cruces, NM 88011-4792 - Phone
- (575) 522-6885
- Fax
- (575) 522-8619
- NPI assigned
- Nov 17, 2005
- Last updated
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 522 | NM | Primary |
Addresses
Primary practice location
2926 Hillrise Dr
Las Cruces, NM 88011-4792
Mailing address
2926 Hillrise Dr
Las Cruces, NM 88011-4792
Phone (575) 522-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1750363594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2926 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114792",
"telephone_number": "575-522-6885",
"fax_number": "575-522-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114792",
"telephone_number": "575-522-6885",
"fax_number": "575-522-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MICHAEL",
"middle_name": "NYLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.