Individual provider Active NPI

Matthew James Casey, OD

  • Optometrist
  • Corning, NY
National Provider Identifier
1770577488
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005976 Issued in NY
Practice address
130 Center Way
Corning, NY 14830-2255
Phone
(607) 973-8265
Fax
(607) 937-1089
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005976 NY Primary

Addresses

Primary practice location

130 Center Way
Corning, NY 14830-2255

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other identifiers 1

IdentifierTypeStateIssuer
410047071OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110214000164 NY Practitioner - Optometry 6709066491 Reassigns benefits to 1 organization
I20250403000875 VA Practitioner - Optometry 6709066491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vistar Eye Center, IncGroup PAC ID 0446249858, 29 clinicians

Practice addresses (Care Compare)

707 S Jefferson St
Roanoke, VA 24016-5100
Phone (540) 855-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005976NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vistar Eye Center, Inc Optometrist CurrentSince May 1, 2025 Accepting new patients
Vistar Eye Center, Inc Optometrist CurrentSince May 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Nov 17, 2014 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Nov 17, 2014 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

207 Madison Ave
Elmira, NY 14901
Phone (607) 734-2984

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

70 Summerfield Ct
Roanoke, VA 24019
Phone (540) 855-5139

2154 McVitty Rd SW
Ste 100
Roanoke, VA 24018

707 S Jefferson St
Roanoke, VA 24016
Phone (540) 344-4000

3320 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 342-0801

1819 Electric Rd
Ste 1A
Roanoke, VA 24018

426 W Main St
Salem, VA 24153
Phone (540) 344-4000

Interoperability endpoints

  • Direct secure messaging: mcasey54874@direct-guthrie.org
  • Direct secure messaging: matthew.casey.p1@direct.vistareyecenter.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1770577488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER WAY",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302255",
            "telephone_number": "607-973-8265",
            "fax_number": "607-937-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410047071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.