Individual provider Active NPI

Matthew Ryan Duncan, OD

  • Optometrist
  • Morrow, GA
National Provider Identifier
1780990234
Registry record updated Aug 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002609 Issued in GA
Practice address
2402 Southlake Mall
Morrow, GA 30260-2334
Phone
(770) 961-1001
NPI assigned
Aug 22, 2010
Last updated
Aug 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2952 TN
Optometrist 152W00000X OPT002609 GA Primary

Addresses

Primary practice location

2402 Southlake Mall
Morrow, GA 30260-2334

Mailing address

2402 Southlake Mall
Morrow, GA 30260-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101122000467 GA Practitioner - Optometry 7214123884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (770) 475-5515

2852 Lavista Rd
Suite 5
Decatur, GA 30033-1307
Phone (770) 809-3368

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist CurrentSince May 10, 2021 Accepting new patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Thomas Eye Group PC CurrentSince May 10, 2021 Accepting new patients
Mark Lynn OD & Associates PC Past Accepting new patients
Thomas Eye Group PC Past Accepting new patients
Mark Lynn O.D. & Associates, PC Past Accepting new patients
Thomas Eye Group PC Optometrist PastSince Nov 1, 2021 Accepting new patients

Locations

2240 Hamilton Creek Pkwy
Ste 1100
Dacula, GA 30019
Phone (404) 582-0096

2852 Lavista Rd
Ste 5
Decatur, GA 30033
Phone (770) 809-3368

4480 Chamblee Dunwoody Rd
#A
Dunwoody, GA 30338
Phone (770) 392-0154

3975 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 717-1191

2700 Highway 34 E
Ste 300
Newnan, GA 30265
Phone (678) 423-7700

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

1120 Peachtree Industrial Blvd
Ste 101
Suwanee, GA 30024
Phone (770) 809-3366

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282435200000",
    "number": "1780990234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 SOUTHLAKE MALL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 SOUTHLAKE MALL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602334",
            "telephone_number": "770-961-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2952",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.