Edward L. Matusik, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1238 Issued in FL

Legal business name

EDWARD L. MATUSIK, OD PA

Practice address

1017 W Oak Ridge Rd Ste a
Orlando, FL 32809-4723

Phone

(407) 859-1071

Fax

(407) 859-1075

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Edward L Matusik, OD

Title

President

Phone

(407) 859-1071

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele A Matusik, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1578644548
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1770965097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W OAK RIDGE RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094723",
            "telephone_number": "407-859-1071",
            "fax_number": "407-859-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W OAK RIDGE RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094723",
            "telephone_number": "407-859-1071",
            "fax_number": "407-859-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. MATUSIK, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "MATUSIK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-859-1071",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lodie Alverseau Edol
• Anna Elizabeth Edouard
• Nuria Vadine Edouard, PMHNP-BC
• Eds Dental Clinic Inc
• Eduk Wellness Center Corp
• Edwards Electronic Processing
• Allyson Edwards
• Christin Edwards
• Christine Edwards, M.D.
• Christopher A Edwards, COTA/L

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.