DR. MICHAEL D MATTHEWS (NPI# 1821077207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821077207 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D MATTHEWS |
| Credential | OD |
| Practice Address |
775 Waukegan Rd Suite 200 Deerfield IL 60015-4342 |
| Mailing Address |
5512 W Sudbury Dr Muncie IN 47304-9520 |
| Practice Telephone | 8003170711 |
| Practice Fax Number | 8004347113 |
| Mailing Telephone | 7657471260 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002518A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200511800 | 05 | |
| IN | ANTHEM | 000000371058 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396164372 | Michael Matthews | Podiatrist | 8218 Wisconsin Ave Ste P14, Bethesda, MD 20814-3138 | 2014-04-07 |
| 1598977985 | Michael Jude Matthews | Occupational Therapy Assistant | 713 Park Ave, Apt 1b, Baltimore, MD 21201-4714 | 2007-05-05 |
| 1548487135 | Michael Perry Matthews | Physical Therapist | 4301 West Markham Slot # 744, Little Rock, AR 72205 | 2007-04-18 |
| 1306939913 | Michael Roger Matthews | Social Worker | 1430 Clove Road, Suite 1, Staten Island, NY 10301 | 2006-10-02 |
| 1952402513 | Michael D Matthews | Emergency Medicine | 13330 W Warren Ave, Prosser, NE 68883-1765 | 2006-09-26 |
| 1104874486 | Michael Perry Matthews | Pharmacist | 201 Hurst Creek Rd, Lakeway, TX 78734-4223 | 2006-05-05 |
| 1104897875 | Michael David Matthews | Dentist | 811 N Water, Burnet, TX 78611 | 2006-01-30 |
| 1750363594 | Michael Nyle Matthews | Optometrist | 2926 Hillrise Dr, Las Cruces, NM 88011-4792 | 2005-11-17 |
| 1831709716 | Michael Matthews | Psychologist | 541 Wyoming Ave, Scranton, PA 18509-3000 | 2020-08-05 |
| 1750840864 | Michael Matthews | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-18 |
| Street Address |
775 WAUKEGAN RD SUITE 200 |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245215318 | Daryl Kinshasa Jenkins | Podiatrist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2005-12-13 |
| 1881992469 | Vesna Simic, Inc. | Optometrist | 775 Waukegan Rd, Suite 170, Deerfield, IL 60015-4342 | 2011-03-07 |
| 1386977254 | Tiffany Dawn Vasiloff | Audiologist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2009-09-10 |
| 1558509653 | Matthew W Lackney | Dentist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2009-01-27 |
| 1255589222 | Ej Vision, Inc. | Technician/Technologist | 775 Waukegan Rd, Suite 170, Deerfield, IL 60015-4342 | 2008-09-03 |
| 1912041468 | Vesna Simic | Optometrist | 775 Waukegan Rd, Suite 170, Deerfield, IL 60015-4342 | 2007-02-17 |
| 1134268758 | Ann E. Clifton | Audiologist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2007-02-06 |
| 1942359153 | Kathleen S. Liston | Audiologist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2007-01-09 |
| 1316975576 | Eric Beatty | Podiatrist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2006-06-28 |
| 1013967181 | Michael Wayne Hammer | Optometrist | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015-4342 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070093 | United Eye Care Providers, LLC | Optometrist | 1224 Greenwood Ave, Deerfield, IL 60015-2807 | 2006-12-19 |
| 1568495349 | Northeast Eye Care Associates, PC | Optometrist | 45 North Rd, Deerfield, NH 03037-1400 | 2006-07-08 |
| 1457342685 | Steven Barry Eiden | Optometrist | 360 S Waukegan Rd, Suite A, Deerfield, IL 60015-5654 | 2005-11-05 |
| 1245721257 | Oms LLC | Optometrist | 780 Waukegan Rd, Deerfield, IL 60015-4305 | 2018-05-24 |
| 1881992469 | Vesna Simic, Inc. | Optometrist | 775 Waukegan Rd, Suite 170, Deerfield, IL 60015-4342 | 2011-03-07 |
| 1063533768 | Tracy C Stimpson | Optometrist | 405 Lake Cook Rd, Suite A-12, Deerfield, IL 60015-4993 | 2007-04-02 |
| 1447387063 | The Laser Network, LLC | Optometrist | 1224 Greenwood Ave, Deerfield, IL 60015-2807 | 2007-02-28 |
| 1912041468 | Vesna Simic | Optometrist | 775 Waukegan Rd, Suite 170, Deerfield, IL 60015-4342 | 2007-02-17 |
| 1568505816 | Doyle Opticians of Deerfield, Inc | Optometrist | 405 Lake Cook Rd, Suite A-12, Deerfield, IL 60015-4993 | 2007-02-15 |
| 1225139975 | Alphunse J Serpico | Optometrist | 360 S Waukegan Rd, Deerfield, IL 60015-5653 | 2006-09-26 |
| Find all providers in DEERFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.