Brian Daniel Matthews, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004583 Issued in MI

Practice address

128 W Spruce St
Suite 1
Sault Sainte Marie, MI 49783-1959

Phone

(906) 635-9600

NPI assigned

Jul 9, 2010

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

Practice roles

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.

• Optom Eye Care LLC

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1134622525
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1831401686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W SPRUCE ST",
            "address_2": "STE 1",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W SPRUCE ST",
            "address_2": "SUITE 1",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831959",
            "telephone_number": "906-635-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831401686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan E Marshall
• Zara Masood, M.D.
• Dorothy Massey, R.N.
• Corey Masuga
• Kristina Lynne Masuga, M.D.
• Dana Lynn Mattson
• Katie Elizabeth Mayer, PHARM.D.
• Carmine Mazzuca, ACNPC-AG
• Jonathan McBain
• Lillian M McBroom, LMSW

• Optometrist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.