Matthew Ryan Austin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004136A Issued in IN

Practice address

4542 Elkhart Rd Ste 100
Elkhart, IN 46517-3572

Phone

(574) 538-4728

NPI assigned

Jun 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

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 2

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegan Eyecare PCGroup PAC ID 6103943220, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: matt.austin.p1@direct.grophthalmology.nextgenshare.com

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.

• Allegan Eyecare PC

  • Vision Therapy Optometrist
  • Allegan, MI
  • NPI 1366643538
  Medicare reassignment Care Compare group NPD
• Focused Eye Care LLC

  • Optometrist
  • South Bend, IN
  • NPI 1841796612
  Medicare reassignment NPD
• Hedgeye Optometrist PC

  • Optometrist
  • Granger, IN
  • NPI 1043827660
  Medicare reassignment NPD
• Walker Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Walker, MI
  • NPI 1679612253
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1922591957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 ELKHART RD STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173572",
            "telephone_number": "574-538-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 ELKHART RD STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173572",
            "telephone_number": "574-538-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E University Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465304026",
            "country_code": "US",
            "telephone_number": "574-272-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005108",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004136A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Psychological Services, P.C.
• Ashraf Assous, MD
• Sara Korin Kristi Atkinson, LAT ATC CSCS
• Atlas Mental Health LLC
• Madelyn Attkisson
• Mia Austin
• Alfonso Avelar
• Elizabeth Diane Avery, MS
• Patricia Ayers, MSN, RN, FNP-BC
• Julia Azcuna, LSW

• Optometrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.