Active NPI
Matthew Skoner, OD
- Optometrist
- Tyrone, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003744
- Practice address
- 179 Handley Rd
Tyrone, GA 30290-2154 - Phone
- (770) 486-1020
- NPI assigned
- Jun 9, 2018
- Last updated
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003744 | PA | Primary |
| Optometrist | 152W00000X | OPT003088 | GA |
Addresses
Primary practice location
179 Handley Rd
Tyrone, GA 30290-2154
Mailing address
1010 Ligonier St
Ste a
Latrobe, PA 15650-1846
Phone (724) 539-1671
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7116
Phone (404) 766-6268
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.23 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003088 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassar Enterprises,LLC | Optometrist | Current | Accepting new patients |
| Esog Associates LLC | Past | Accepting new patients |
Locations
777 Cleveland Ave SW
Ste 616
Atlanta, GA 30315
Phone (404) 766-6268
303 Prime Pt
Peachtree Cty, GA 30269
Phone (770) 487-2363
6524 Professional Pl
Riverdale, GA 30274
Phone (770) 994-4060
Organizations & group practices 2
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.
-
dba Eye Specialists of Georgia
- Ophthalmology Physician
- Atlanta, GA
- NPI 1780254763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1952894495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LIGONIER ST",
"address_2": "STE A",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501846",
"telephone_number": "724-539-1671",
"fax_number": "724-539-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 HANDLEY RD",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902154",
"telephone_number": "770-486-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKONER",
"first_name": "MATTHEW",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-09",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003744",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003088",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.