Active NPI
Matthew Waterbury, O.D.
- Optometrist
- Mashpee, MA
National Provider Identifier
1811242746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4920
- Practice address
- 107 Commercial St
Mashpee, MA 02649-6507 - Phone
- (508) 539-6000
- Fax
- (508) 477-7028
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 4920 | MA | Primary |
Addresses
Primary practice location
107 Commercial St
Mashpee, MA 02649-6507
Mailing address
27 Falmouth Heights Rd
Falmouth, MA 02540-3660
Phone (508) 548-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- New England College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Cape Cod Inc | Current | Accepting new patients | |
| Community Health Center of Cape Cod, Inc. | Current | Accepting new patients |
Locations
107 Commercial St
Mashpee, MA 02649
Phone (508) 539-6000
Organizations & group practices 2
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.
-
- Community Health Clinic/Center
- Mashpee, MA
- NPI 1821193145
-
- Emergency Care Clinic/Center
- North Falmouth, MA
- NPI 1194485771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1811242746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 FALMOUTH HEIGHTS RD",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025403660",
"telephone_number": "508-548-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 COMMERCIAL ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496507",
"telephone_number": "508-539-6000",
"fax_number": "508-477-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERBURY",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.