Matthew James Huberty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005583 Issued in MI

Practice address

14915 W Michigan Ave
Marshall, MI 49068-8504

Phone

(269) 781-9863

NPI assigned

Dec 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Westside Eye Care, PC

  • Optometrist
  • Marshall, MI
  • NPI 1982009601
  Medicare reassignment NPD
• Premier Family Eye Care PC.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1851759716
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1912619339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 TUSCANY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490249117",
            "telephone_number": "269-548-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14915 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688504",
            "telephone_number": "269-781-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10050 Tuscany Ct",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490249117",
            "country_code": "US",
            "telephone_number": "269-548-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBERTY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Counseling LLC
• Sarah Hook, DPT
• Hope Marie Howard, MPAC
• Nicole Howe
• Amy Ellen Jean Howell, NP-C
• Rickie Taryn Huff
• Margaret Hurst
• Imagine Wellness Counseling, PLLC
• Inside Out Brain Clinic, PLLC
• Integrative Wellness Therapy PLLC

• Optometrist in Marshall, MI
• Providers in Marshall, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.

Verify at the official NPI Registry.