Matthew Elliot Breslow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5848 Issued in OH

Practice address

1475 Upper Valley Pike
Suite 448
Springfield, OH 45504-4047

Phone

(937) 525-9266

Fax

(937) 525-9633

NPI assigned

Jun 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breslow Eye Care LLCGroup PAC ID 9234277757, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Breslow Eye Care LLC

  • Optometrist
  • Springfield, OH
  • NPI 1851628416
  Medicare reassignment Care Compare group NPD Authorized official
• Mikhail Petrov,O.D.,Inc.

  • Optometrist
  • Westerville, OH
  • NPI 1770627804
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1841428489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "address_2": "SUITE 448",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "614-371-4330",
            "fax_number": "937-525-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "address_2": "SUITE 448",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-525-9266",
            "fax_number": "937-525-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLOW",
        "first_name": "MATTHEW",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5848",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Elaine Brashears
• Michael Brassfield
• Donald J Brenn, D.M.
• Maryann Brenneman, AUD
• Breslow Eye Care LLC
• Stephanie Lynn Brewer, MD
• Brian E Weber OD LLC (Springfield Eye Associates)
• Bridgepoint Home Care LLC
• Bright Sights, Inc
• Kelley Brim

• Optometrist in Springfield, OH
• Providers in Springfield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.