Individual provider Active NPI

Matthew Dooper, OD

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1801456686
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-3577 Issued in MT
Practice address
2012 14TH St SW
Great Falls, MT 59404-3412
Phone
(406) 453-1900
NPI assigned
Jun 14, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-OPT-LIC-3577 MT Primary

Addresses

Primary practice location

2012 14TH St SW
Great Falls, MT 59404-3412

Mailing address

2012 14TH St SW
Great Falls, MT 59404-3412
Phone (406) 453-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20190722001337 MT Practitioner - Optometry 4284960774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Montana Eyecare PCGroup PAC ID 7517289002, 6 clinicians

Practice addresses (Care Compare)

2012 14TH St SW
Great Falls, MT 59404-3412
Phone (406) 453-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Montana Eyecare PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

2012 14th St SW
Great Falls, MT 59404
Phone (406) 452-4527

2012 14th St SW
Ste 1
Great Falls, MT 59404

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, 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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1801456686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 14TH ST SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043412",
            "telephone_number": "406-453-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 14TH ST SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043412",
            "telephone_number": "406-453-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOPER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.