Organization Active NPI

Scott Matthews OD PA

  • Optometrist
  • Williamston, NC
National Provider Identifier
1881295665
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SCOTT MATTHEWS OD PA
Practice address
316 S McCaskey Rd
Williamston, NC 27892-2150
Phone
(252) 792-2250
Fax
(252) 792-6293
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Debbie L Peel
Title
Office Manager
Phone
(252) 792-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

316 S McCaskey Rd
Williamston, NC 27892-2150

Mailing address

316 S McCaskey Rd
Williamston, NC 27892-2150
Phone (252) 792-2250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215001240 NC Part B Supplier - Clinic/Group Practice 6608288725 Receives reassigned benefits from 2 practitioners
Practice locations: Williamston, NC

National Provider Directory

National Provider Directory

Locations

316 S McCaskey Rd
Williamston, NC 27892
Phone (252) 792-0022

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1881295665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-792-2250",
            "fax_number": "252-792-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-792-2250",
            "fax_number": "252-792-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MATTHEWS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-792-2250"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.