Active NPI
Matthew Conlan, O.D.
- Optometrist
- Clayton, NC
National Provider Identifier
1760918544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2472
- Practice address
- 229 Plantation Rd
Clayton, NC 27520-8183 - Phone
- (716) 665-9344
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2472 | NC | Primary |
| Optometrist | 152W00000X | 1949 | SC |
Addresses
Primary practice location
229 Plantation Rd
Clayton, NC 27520-8183
Mailing address
229 Plantation Rd
Clayton, NC 27520-8183
Phone (716) 665-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10423 Crestshire Rd
Charlotte, NC 28227-9745
12207 Landing Green Dr
Charlotte, NC 28277-4634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2472 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuvision Eye Care OD, PA | Optometrist | Current | Accepting new patients |
Locations
3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660
Organizations & group practices 1
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.
-
- Optometrist
- Gastonia, NC
- NPI 1174850168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1760918544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 PLANTATION RD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208183",
"telephone_number": "716-665-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 PLANTATION RD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208183",
"telephone_number": "716-665-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLAN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2472",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1949",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.