NPIMap

Organization Active NPI

Rebecca R. Matchok, O.D., P.a.

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1881961746
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP0003025 Issued in FL
Legal business name
REBECCA R. MATCHOK, O.D., P.A.
Practice address
5315 Cortez Rd W
Vision Center
Bradenton, FL 34210-2814
Phone
(941) 761-7373
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Dr. Rebecca R. Matchok, O.D.
Title
President/Owner
Phone
(941) 761-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP0003025 FL Primary

Addresses

Primary practice location

5315 Cortez Rd W
Vision Center
Bradenton, FL 34210-2814

Mailing address

PO Box 434
Palmetto, FL 34220-0434

National Provider Directory

National Provider Directory

Locations

5315 Cortez Rd W
Bradenton, FL 34210
Phone (941) 761-7373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1881961746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342200434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 CORTEZ RD W",
            "address_2": "VISION CENTER",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102814",
            "telephone_number": "941-761-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA R. MATCHOK, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MATCHOK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "941-761-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0003025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.