DR. MATTHEW WALDEN EARHART (NPI# 1831397801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831397801 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WALDEN EARHART |
| Credential | O.D., MED. |
| Practice Address |
250 N See Vee Ln Bishop CA 93514-8130 |
| Practice Telephone | 7608733611 |
| Practice Fax Number | 7608733612 |
| Mailing Telephone | 7608733611 |
| Mailing Fax Number | 7608733612 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 950 | NV | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 13441 TLG | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CN337Y | 01 |
| CA | MEDICARE TPAN | CN337Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5465 Meadowood Mall Cir, Reno, NV 895026710 | 7758264100 | |
| 5959 Greenback Ln Ste 130, Citrus Heights, CA 956214700 | 9167261818 | 9167261822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174992465 | Matthew Earhart | Physician Assistant | 7301a W Palmetto Park Rd, #100b, Boca Raton, FL 33433-3409 | 2015-09-17 |
| Street Address |
250 N SEE VEE LN |
| City | BISHOP |
| State | CA |
| Zip Code | 93514-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093720609 | Toiyabe Indian Health Project, Inc. | Pharmacy | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2006-07-30 |
| 1891323960 | Omar Musa | Nurse Practitioner | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2020-04-01 |
| 1508417395 | Fred Dirisio | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-24 |
| 1669023594 | Natalie Chi Ting Chang | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1437700382 | Tina Marie Rodriguez | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1760033708 | Jeffrey Tatum | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-20 |
| 1548722218 | Ressie Melissa Hess | Technician, Pathology | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-04-02 |
| 1730641333 | Micah Crystal Lent | Technician, Pathology | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-04-02 |
| 1609366236 | Tammy Warner | Dental Hygienist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2018-05-18 |
| 1811409782 | Paul Ohnopee Chavez | Counselor | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2017-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1083266654 | Teresa Michelle Poirier | Psychologist | 512 W. Line Street, Suite 101, Bishop, CA 93514 | 2019-07-12 |
| 1477021756 | Linda M Christensen | Social Worker | 686 W. Line St., Bishop, CA 93514 | 2018-11-05 |
| 1013491497 | Kathleen Lynn Chandler | Massage Therapist | 214 W Line Street, Suite J, Bishop, CA 93514 | 2018-09-20 |
| 1477055390 | Alex Ds Ellis | Marriage & Family Therapist | 129 East Line St, Bishop, CA 93514 | 2018-03-07 |
| 1205366184 | Carla Orieta | Social Worker | 162 J-grove St., Bishop, CA 93514 | 2017-06-14 |
| 1871905778 | Bahman Payman | Obstetrics & Gynecology | 1500 Bear Creek Dr., Bishop, CA 93514 | 2014-05-27 |
| 1093972697 | Emery Joseph Duncan Dds Apc | Dentist | 325 Grove St, Bishop, CA 93514 | 2008-05-21 |
| 1407034622 | Steven Neal White | Acupuncturist | 162 E Line St Ste A, Bishop, CA 93514 | 2008-02-11 |
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| 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 |
|---|---|---|---|---|
| 1336266238 | Stuart Kiyomi Hiroyasu | Optometrist | 459 W Line St, Bishop, CA 93514-3333 | 2007-03-23 |
| 1891840591 | F W Carter & Eric I Richman Ptr Dr Carter Dr Richman Optometry | Optometrist | 293 Willow St, Bishop, CA 93514-2720 | 2007-01-24 |
| 1063571966 | Fred William Carter IIi | Optometrist | 293 Willow Street, Bishop, CA 93514 | 2006-12-06 |
| 1760916068 | Eastern Sierra Optometry | Optometrist | 293 Willow St, Bishop, CA 93514-2720 | 2017-04-13 |
| 1063574044 | Eric Ivars Richman | Optometrist | 293 Willow Street, Bishop, CA 93514 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
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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.