DR. MATTHEW L. NELSON (NPI# 1194812099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194812099 |
Entity Type | Individual |
Full Name | DR. MATTHEW L. NELSON |
Credential | O.D. |
Practice Address |
301 N Broadway Heritage Square Building De Pere WI 54115-2557 |
Mailing Address |
2257 Samantha St Apt 86 De Pere WI 54115-7413 |
Practice Telephone | 9203367700 |
Practice Fax Number | 9203381799 |
Mailing Telephone | 3123997694 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2009-04-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 3132-35 | WI | Eye and Vision Services Providers |
N | 152W00000X | Optometrist | 1430 | SC | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801377767 | Matthew Ryan Nelson | Nurse Practitioner | 1974 N 540 E, Orem, UT 84097-2360 | 2018-08-28 |
1649783648 | Matthew Nelson | Occupational Therapy Assistant | 13915 North Mopac Expressway, Suite 200, Austin, TX 78728 | 2017-11-13 |
1861800898 | Matthew Nelson | Behavioral Analyst | 1972 Nortstar Way #163, San Marcos, CA 92078 | 2014-07-22 |
1396161154 | Matthew Nelson | Marriage & Family Therapist | 2100 County Road 42 W, Burnsville, MN 55337-6913 | 2014-03-17 |
1003245986 | Matthew Nelson | Specialist/Technologist | 1818 Belleville Rd Sw, Roanoke, VA 24015-2708 | 2013-11-01 |
1376986075 | Matthew Gene Nelson | Military Health Care Provider | 212 Wintergreen Ln, Hubert, NC 28539-4659 | 2013-04-11 |
1922310929 | Matthew Taylor Nelson | Anesthesiology | 6018 Wagon Mount Ct, Saint Louis, MO 63129-4043 | 2010-07-07 |
1518152875 | Matthew E Nelson | Dentist | 7101 E Thomas Rd, Scottsdale, AZ 85251-6336 | 2007-09-10 |
1518049295 | Matthew Nelson | Chiropractor | 3231 Rucker Ave, Everett, WA 98201-4224 | 2006-10-20 |
1164537155 | Matthew Michael Nelson | Dentist | 29992 Hunter Rd, Ste 110, Murrieta, CA 92563 | 2006-08-20 |
Street Address |
301 N BROADWAY HERITAGE SQUARE BUILDING |
City | DE PERE |
State | WI |
Zip Code | 54115-2557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881711588 | Eye & Vision Clinics, S.c. | Optometrist | 301 N Broadway, De Pere, WI 54115-2557 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
Find all providers in zip 54115 |
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 |
---|---|---|---|---|
1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
1770544603 | Sandra Marie Landwehr | Optometrist | 1017 Main Ave, De Pere, WI 54115 | 2006-03-30 |
1457843161 | Nicholas Roovers | Optometrist | 230 N Wisconsin St, De Pere, WI 54115 | 2018-05-30 |
1881711588 | Eye & Vision Clinics, S.c. | Optometrist | 301 N Broadway, De Pere, WI 54115-2557 | 2007-03-26 |
1548326309 | Brent James Schoppe | Optometrist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-12-28 |
1184649048 | Gene Eric Flink | Optometrist | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-13 |
1093767931 | Amy Marie Peot | Optometrist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
1861054314 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 535 S Monroe Ave, Green Bay, WI 54301-4017 | 2019-07-05 |
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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.