Mattoon Vision Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007322 Issued in IL

Legal business name

MATTOON VISION ASSOCIATES

Practice address

1120 Lake Land Blvd Ste 1
Mattoon, IL 61938-5562

Phone

(217) 258-8466

Fax

(217) 258-8443

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Robert Jones, ODNPI 1578727368

Title

Owner

Phone

(217) 342-2672

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Mattoon Community Eyecare Doing business as
• JRGOLD, INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Jeffrey D. Bowman, O.D.

  • Optometrist
  • Sparta, IL
  • NPI 1083682785
  Medicare reassignment Care Compare group NPD
• Tina M Funk, OD

  • Optometrist
  • Olney, IL
  • NPI 1730293770
  Medicare reassignment Care Compare group NPD
• Matthew Robert Jones, OD

  • Optometrist
  • Effingham, IL
  • NPI 1578727368
  Medicare reassignment NPD Authorized official
• James R Goldstein, OD

  • Optometrist
  • Mattoon, IL
  • NPI 1700874922
  Medicare reassignment NPD
• Robert Wayne Jones, OD

  • Optometrist
  • Effingham, IL
  • NPI 1588728257
  Medicare reassignment NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1851500524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 LAKE LAND BLVD STE 1",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385562",
            "telephone_number": "217-258-8466",
            "fax_number": "217-258-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LAKE LAND BLVD STE 1",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385562",
            "telephone_number": "217-258-8466",
            "fax_number": "217-258-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTOON VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-342-2672",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007322",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattoon Community Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JRGOLD, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mattoon Estates South, LLC
• Mattoon Eye Center S C
• Mattoon Furniture
• Mattoon Healthcare & Rehabilitation Center
• Mattoon Manor, LLC
• Nicole Maus, CRNA
• Tatiana K Mauzy, MOT,OTR/L
• Cara McCall, B.A.
• Megan McClellan, PTA
• Morgan McClellan

• Optometrist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.