Individual provider Active NPI

Matthew Farnsworth, OD

  • Optometrist
  • Carson City, NV
National Provider Identifier
1861381964
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003538 Issued in VA
Practice address
111 W Tenth St
Carson City, NV 89703-5170
Phone
(775) 883-4664
NPI assigned
Jul 2, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003538VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruckman Eyecare PC Optometrist CurrentSince Aug 1, 2026 Accepting new patients

Locations

111 W Tenth St
Carson City, NV 89703
Phone (775) 883-4664

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1262 NV
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0618003538 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

111 W Tenth St
Carson City, NV 89703-5170

Mailing address

111 W Tenth St
Carson City, NV 89703-5170
Phone (720) 636-4718

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2026.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1861381964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035170",
            "telephone_number": "720-636-4718",
            "fax_number": "775-883-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035170",
            "telephone_number": "775-883-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1262",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.