Individual provider Active NPI

Matthew Harrison Cain, OD

  • Optometrist
  • Statesboro, GA
National Provider Identifier
1952715922
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002815 Issued in GA
Practice address
1014 Northside Dr E
Statesboro, GA 30458-1002
Phone
(912) 764-9147
Fax
(912) 764-3250
NPI assigned
Jun 17, 2014
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002815 GA Primary

Addresses

Primary practice location

1014 Northside Dr E
Statesboro, GA 30458-1002

Mailing address

1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150218001087 GA Practitioner - Optometry 1850616764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

1014 Northside Dr E
Statesboro, GA 30458-1002
Phone (912) 764-9147

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Nov 3, 2014 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Nov 3, 2014 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients

Locations

3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404

105 Grand Central Blvd
Ste 110
Pooler, GA 31322
Phone (912) 450-9200

594 S Columbia Ave
Ste 200
Rincon, GA 31326
Phone (912) 826-0935

7203 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 352-9356

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1952715922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 NORTHSIDE DR E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581002",
            "telephone_number": "912-764-9147",
            "fax_number": "912-764-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "MATTHEW",
        "middle_name": "HARRISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.