Matthew Walden Earhart, O.D., MED.

Primary specialty

OptometristTaxonomy code 152W00000X

License

950 Issued in NV

Practice address

250 N See Vee LN
Bishop, CA 93514-8130

Phone

(760) 873-3611

Fax

(760) 873-3612

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1518904622
  Medicare reassignment NPD
• Michelle Wong Optometry PC

  • Optometrist
  • Reno, NV
  • NPI 1780233460
  Medicare reassignment NPD
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1427382415
  Medicare reassignment
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1841523164
  NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1831397801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-3611",
            "fax_number": "760-873-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-3611",
            "fax_number": "760-873-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Greenback Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956214700",
            "country_code": "US",
            "telephone_number": "916-726-1818 x337",
            "fax_number": "916-726-1822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5465 Meadowood Mall Cir",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026710",
            "country_code": "US",
            "telephone_number": "775-826-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARHART",
        "first_name": "MATTHEW",
        "middle_name": "WALDEN",
        "name_prefix": "Dr.",
        "credential": "O.D., MED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13441 TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CN337Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPAN",
            "identifier": "CN337Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS. Kamei and Hathaway
• Lauren Dudley
• Travis Dudley, MSOT, OTR/L
• Henry Humbert Duke Jr., M.D.
• Ariel Duvall, PT, DPT
• Eastern Sierra Emergency Physicians, a Medical Partnership
• Eastern Sierra Nutrition and Lactation LLC
• Eastern Sierra Optometry
• Eastern Sierra Radiology
• Eastern Sierra Urology Prof Corp

• Optometrist in Bishop, CA
• Providers in Bishop, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.