Active NPI
Matthew Littlejohn, OD
- Optometrist
- Casa Grande, AZ
National Provider Identifier
1780603142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1525
- Practice address
- 1968 N Peart Rd Ste 12
Casa Grande, AZ 85122-2496 - Phone
- (520) 836-9606
- Fax
- (520) 836-3964
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1525 | AZ | Primary |
Addresses
Primary practice location
1968 N Peart Rd Ste 12
Casa Grande, AZ 85122-2496
Mailing address
1968 N Peart Rd Ste 12
Casa Grande, AZ 85122-2496
Phone (520) 836-9606
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387419 | Medicaid | AZ | |
| D09166 | Other | RAILROAD MEDICARE | |
| DU5966 | Other | AZ | RAILROAD MEDICARE |
| 152W00000X | Other | AZ | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Pacific University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
653 E Cottonwood LN
Casa Grande Vision Center
Casa Grande, AZ 85122-2023
Phone (520) 836-9606
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1525 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Littlejohn OD PC | Optometrist | Current | Accepting new patients |
Locations
1968 N Peart Rd
Ste 12
Casa Grande, AZ 85122
Phone (520) 836-9606
653 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-9606
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1780603142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 N PEART RD STE 12",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851222496",
"telephone_number": "520-836-9606",
"fax_number": "520-836-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 N PEART RD STE 12",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851222496",
"telephone_number": "520-836-9606",
"fax_number": "520-836-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLEJOHN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "387419",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "D09166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DU5966",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "152W00000X",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.