Matthew J Pollastrini, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2017 Issued in IA

Practice address

105 20TH St NW
Waverly, IA 50677-2059

Phone

(319) 352-4516

Fax

(319) 352-0291

NPI assigned

Jul 7, 2006

Last updated

Nov 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MP Eyecare, LLC

  • Optometrist
  • Waverly, IA
  • NPI 1699089078
  Authorized official Same address or phone
• 2C Or Not 2C PC

  dba Mauer Eye Center Cedar Falls

  • Optometrist
  • Cedar Falls, IA
  • NPI 1205931920
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1811929805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 AMELIA DR APT 4",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137982",
            "telephone_number": "319-240-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 20TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772059",
            "telephone_number": "319-352-4516",
            "fax_number": "319-352-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLASTRINI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1811929805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Peters, DPT
• Ashley Petersen
• Alan Lee Phillips, D.D.S.
• Monte T Phillips, LISW
• Adena Kay Pigman Baker
• Positive Change Psychiatry & Therapy Solutions LLC
• Brianna D Potter, LMHC
• Premise Health of Iowa Medical PC (True Stage Waverly)
• Kaci Lynn Prihoda, SLP
• Heidi L. Prose, A.R.N.P.

• Optometrist in Waverly, IA
• Providers in Waverly, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.