Matthew Rossland Ingram, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2470 Issued in OH

Practice address

418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000

Phone

(304) 428-3500

Fax

(304) 422-7900

NPI assigned

Jun 22, 2006

Last updated

Aug 3, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Marietta LLCGroup PAC ID 6608158696, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matt.ingram@direct.revolutionehr.com

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.

• Eye Care Associates of Marietta LLC

  • Optometrist
  • Marietta, OH
  • NPI 1033296868
  Medicare reassignment Care Compare group
• Eye Care of McConnelsville LLC

  • Optometrist
  • McConnelsville, OH
  • NPI 1225115058
  Medicare reassignment NPD
• Eye Care Associates of Belpre

  • Optometrist
  • Belpre, OH
  • NPI 1275610099
  Medicare reassignment

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1801832225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR",
            "address_2": "SUITE 315",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR",
            "address_2": "SUITE 315",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-428-3500",
            "fax_number": "304-422-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "MATTHEW",
        "middle_name": "ROSSLAND",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000384708",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7395753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "001772033",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0707695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2590414",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003387",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00269537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Hyde, PHD
• Beulah Lynn Ice-Cross
• Nicholas Paul Ickes
• Rebecca Ingels
• Donna Gail Ingram
• Inman Family Eye Care Inc
• Cindy Carlson Inman, MA, LP
• Lance A Inman, OD
• Inpatient Medical Specialists, Inc
• Integrated Geriatric Care PLLC

• Optometrist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.

Verify at the official NPI Registry.