Individual provider Active NPI

Eugene Matveev, O.D.

  • Optometrist
  • Vernon, CT
National Provider Identifier
1871781336
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002723 Issued in CT
Practice address
35 Talcottville Rd
Vernon, CT 06066-5261
Phone
(860) 870-6337
Fax
(860) 871-7563
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002723 CT Primary

Addresses

Primary practice location

35 Talcottville Rd
Vernon, CT 06066-5261

Mailing address

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20170908001670 NY Practitioner - Optometry 3577836899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite IncGroup PAC ID 0749404382, 6 clinicians

Practice addresses (Care Compare)

134 Great E Neck Rd
West Babylon, NY 11704-8027
Phone (631) 422-4800

26 Cass St
Westfield, NY 14787-1113
Phone (716) 326-4646

307 Porter Ave
Buffalo, NY 14201-1031
Phone (212) 764-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002723CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1871781336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-870-6337",
            "fax_number": "860-871-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-870-6337",
            "fax_number": "860-871-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATVEEV",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.