Individual provider Active NPI

William Wayne Matthews, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1770620924
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC000862 Issued in FL
Practice address
1711 Hoffner Ave
Orlando, FL 32809-3599
Phone
(407) 855-4581
Fax
(407) 855-2435
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC000862 FL Primary

Addresses

Primary practice location

1711 Hoffner Ave
Orlando, FL 32809-3599

Mailing address

2883 Delaney Ave
Orlando, FL 32806-5412
Phone (407) 219-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210407001689 FL Practitioner - Optometry 7012324148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salazar Eyecare LLCGroup PAC ID 9830436518, 4 clinicians

Practice addresses (Care Compare)

2883 Delaney Ave
Orlando, FL 32806-5412
Phone (407) 219-4123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC000862FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Salazar Eyecare LLC Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Matthews & Matthews OD PA Optometrist Past Accepting new patients

Locations

2883 Delaney Ave
Orlando, FL 32806
Phone (407) 219-4123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1770620924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065412",
            "telephone_number": "407-219-4123",
            "fax_number": "407-210-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HOFFNER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093599",
            "telephone_number": "407-855-4581",
            "fax_number": "407-855-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "WILLIAM",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC000862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.