Individual provider Active NPI

Matthew Lamarr Karres, OD

  • Optometrist
  • New Albany, OH
National Provider Identifier
1942738612
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6552 Issued in OH
Practice address
6772 New Albany Condit Rd
New Albany, OH 43054-9733
Phone
(614) 933-0575
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6552 OH Primary

Addresses

Primary practice location

6772 New Albany Condit Rd
New Albany, OH 43054-9733

Mailing address

65 Penrod Ave
Pataskala, OH 43062-7543
Phone (614) 266-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170612001249 OH Practitioner - Optometry 3779851951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Central Ohio Vision and Eyecare, LLCGroup PAC ID 4385996842, 3 clinicians

Practice addresses (Care Compare)

6772 New Albany Condit Rd
New Albany, OH 43054-9733
Phone (614) 933-0575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6552OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Vision and Eyecare, LLC Optometrist CurrentSince Aug 29, 2018 Accepting new patients

Locations

6772 New Albany Condit Rd
New Albany, OH 43054
Phone (614) 933-0575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1942738612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PENROD AVE",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627543",
            "telephone_number": "614-266-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6772 NEW ALBANY CONDIT RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549733",
            "telephone_number": "614-933-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRES",
        "first_name": "MATTHEW",
        "middle_name": "LAMARR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.