Individual provider Active NPI

Sheri L Matthaidess, OD

  • Optometrist
  • Altoona, IA
National Provider Identifier
1780658302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02184 Issued in IA
Practice address
501 8TH St SE
Altoona, IA 50009-1903
Phone
(515) 967-6605
Fax
(515) 967-7724
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02184 IA Primary

Addresses

Primary practice location

501 8TH St SE
Altoona, IA 50009-1903

Mailing address

3725 Ingersoll Ave
Des Moines, IA 50312-3410
Phone (515) 279-2020

Other identifiers 2

IdentifierTypeStateIssuer
25530OtherIABLUE CROSS
0234872MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100813001050 IA Practitioner - Optometry 9234263153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02184IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CVK Corporation Optometrist CurrentSince Jul 26, 2000 Accepting new patients
CVK Corporation CurrentSince Jul 26, 2000 Accepting new patients
Eyemart Express LLC PastSince Apr 13, 2025 Accepting new patients

Locations

501 8th St SE
Altoona, IA 50009
Phone (515) 967-6605

3725 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 255-5533

Organizations & group practices 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780658302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123410",
            "telephone_number": "515-279-2020",
            "fax_number": "515-255-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091903",
            "telephone_number": "515-967-6605",
            "fax_number": "515-967-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHAIDESS",
        "first_name": "SHERI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25530",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234872",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.