Active NPI
Matthew Gene Cordes, O.D.
- Optometrist
- The Villages, FL
National Provider Identifier
1861457392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002842
- Practice address
- 8900 SE 165TH Mulberry Lane
Eye Clinic
The Villages, FL 32162 - Phone
- (352) 674-5000
- Fax
- (352) 674-5027
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002842 | PA | Primary |
Addresses
Primary practice location
8900 SE 165TH Mulberry Lane
Eye Clinic
The Villages, FL 32162
Mailing address
1540 Spring Valley Dr
Optometry Service (123)
Huntington, WV 25704-9300
Phone (304) 429-6755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002842 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1861457392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DR",
"address_2": "OPTOMETRY SERVICE (123)",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257049300",
"telephone_number": "304-429-6755",
"fax_number": "304-429-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LANE",
"address_2": "EYE CLINIC",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-674-5000",
"fax_number": "352-674-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "MATTHEW",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.