Active NPI
Taryn Ann Mathews, O.D.
- Optometrist
- Lubbock, TX
National Provider Identifier
1902897986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4999TG
- Practice address
- 4505 82ND St
Suite 5
Lubbock, TX 79424-3215 - Phone
- (806) 798-7244
- Fax
- (806) 798-3391
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 4999TG | TX | Primary |
Addresses
Primary practice location
4505 82ND St
Suite 5
Lubbock, TX 79424-3215
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A006 | Other | NM | TRIWEST |
| 84366Z | Other | TX | HMO BLUE |
| 64047 | Other | NM | PRESBYTERIAN COMMERCIAL |
| 80318Q | Other | TX | BC/BS |
| 64047 | Medicaid | NM | |
| B6084 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 4TH St
Lubbock, TX 79430-0002
3601 4TH St
Lubbock, TX 79430-7217
Phone (806) 743-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4999TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1336198621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1902897986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5865",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794085865",
"telephone_number": "806-743-2898",
"fax_number": "806-743-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 82ND ST",
"address_2": "SUITE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243215",
"telephone_number": "806-798-7244",
"fax_number": "806-798-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "TARYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4999TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A006",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "84366Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "64047",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "80318Q",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64047",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B6084",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.