James F. Matthews OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAMES F. MATTHEWS OD PA

Practice address

2101 Younts Rd
Indian Trail, NC 28079-8505

Phone

(704) 893-5555

Fax

(803) 746-0862

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. James F Matthews, ODNPI 1811946460

Title

Optometrist

Phone

(803) 367-3830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James F Matthews, O.D.

  • Optometrist
  • Indian Trail, NC
  • NPI 1811946460
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1821702077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 JACK THOMAS DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297070170",
            "telephone_number": "803-367-3830",
            "fax_number": "803-746-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 YOUNTS RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798505",
            "telephone_number": "704-893-5555",
            "fax_number": "803-746-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. MATTHEWS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-367-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susana C Junco, DMD
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• Optometrist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.