Individual provider Active NPI

Matthew J Wadas, O.D.

  • Optometrist
  • Whitesboro, NY
National Provider Identifier
1821448358
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008427 Issued in NY
Practice address
38 Roosevelt Dr
Whitesboro, NY 13492-1550
Phone
(315) 736-3217
Fax
(315) 736-6979
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008427 NY Primary

Addresses

Primary practice location

38 Roosevelt Dr
Whitesboro, NY 13492-1550

Mailing address

38 Roosevelt Dr
Whitesboro, NY 13492-1550
Phone (315) 736-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160805001109 NY Practitioner - Optometry 1557655040 Reassigns benefits to 2 organizations
Practice locations: Herkimer, NY; Utica, NY; Whitesboro, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wadas Optometric Group, PCGroup PAC ID 0042546368, 7 clinicians

Practice addresses (Care Compare)

38 Roosevelt Dr
Whitesboro, NY 13492-1550
Phone (315) 736-3217

Merit-based Incentive Payment System (MIPS)

Final score
15.74 of 100Reported as individual
Quality
30
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008427NYMDMental Health Counselor
TUV008427NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Costello Eye Physicians & Surgeons, PLLC Optometrist CurrentSince Sep 26, 2016 Accepting new patients
Wadas Optometric Group, PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Ia Health Medicine PLLC PastSince Jul 13, 2025 Accepting new patients

Locations

8010 State Route 12
Barneveld, NY 13304
Phone (315) 896-3900

8010 State Route 12
Ste 1
Barneveld, NY 13304
Phone (315) 896-3900

2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330

394 E State St
Herkimer, NY 13350
Phone (315) 866-3751

131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110

131 Main St
Oneida, NY 13421
Phone (315) 366-0360

2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800

38 Roosevelt Dr
Whitesboro, NY 13492
Phone (315) 404-8275

Interoperability endpoints

  • Direct secure messaging: mwadas@ceps2056.srs-direct.com
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1821448358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ROOSEVELT DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921550",
            "telephone_number": "315-736-3217",
            "fax_number": "315-736-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROOSEVELT DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921550",
            "telephone_number": "315-736-3217",
            "fax_number": "315-736-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADAS",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

Verify at the official NPI Registry.