Matthew E. Kent, O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MATTHEW E. KENT, O.D.,P.A.

Doing business as

Little Wood Vision Clinic

Practice address

520 N Greenwood St.
Shoshone, ID 83352

Phone

(208) 537-2020

Fax

(208) 537-2010

NPI assigned

Jun 10, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew E. Kent, O.D.NPI 1487648952

Title

President

Phone

(208) 537-2020

Specialties & licenses 1

Addresses

Other names 1

• Little Wood Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew E. Kent, O.D.

  • Optometrist
  • Shoshone, ID
  • NPI 1487648952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1851740716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N GREENWOOD ST.",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "83352",
            "telephone_number": "208-537-2020",
            "fax_number": "208-537-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N GREENWOOD ST.",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "83352",
            "telephone_number": "208-537-2020",
            "fax_number": "208-537-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E. KENT, O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-537-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Wood Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Community Health
• Lincoln County Care Center LLC
• Lincoln County EMS
• Lincoln County EMS
• Andrea Madson, LMSW
• Physician Management Services of Idaho, LLC
• Krista Profit
• Christopher Daniel Ritcheson
• Stephanie Roberts, PA
• Janet Sandy

• Optometrist in Shoshone, ID
• Providers in Shoshone, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.