Individual provider Active NPI

Matthew Bryant

  • Optometrist
  • Monroe, MI
National Provider Identifier
1891103594
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004862 Issued in MI
Practice address
2215 N Telegraph Rd
Monroe, MI 48162-8941
Phone
(734) 230-0030
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004862 MI Primary

Addresses

Primary practice location

2215 N Telegraph Rd
Monroe, MI 48162-8941

Mailing address

2215 N Telegraph Rd
Monroe, MI 48162-8941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180228002755 NC Practitioner - Optometry 2466713714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eye Care OD, PAGroup PAC ID 6406996875, 14 clinicians

Practice addresses (Care Compare)

11025 Carolina Place Pkwy
Suite A34
Pineville, NC 28134-9035
Phone (704) 541-8232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004862MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye Care OD, PA Optometrist CurrentSince Apr 19, 2023 Accepting new patients
America's Best Contact & Eyeglasses Past Accepting new patients

Locations

3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660

11025 Carolina Place Pkwy
Ste A34
Pineville, NC 28134
Phone (704) 541-8232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1891103594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481628941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481628941",
            "telephone_number": "734-230-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.