MATTHEW KURT MOSTELLER (NPI# 1255320859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255320859 |
| Entity Type | Individual |
| Full Name | MATTHEW KURT MOSTELLER |
| Credential | O.D. |
| Practice Address |
768 S Jefferson Ave Cookeville TN 38501-4070 |
| Practice Telephone | 9316465900 |
| Practice Fax Number | 9316465901 |
| Mailing Telephone | 9316465900 |
| Mailing Fax Number | 9316465901 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2556 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 140852100A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 Tvc, Nashville, TN 372320001 | 6153223000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112139 | Matthew Wooley Mosteller | Ophthalmology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2005-08-24 |
| Street Address |
768 S JEFFERSON AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667769 | Tammy Buck | Pharmacist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2018-04-24 |
| 1487141826 | Marie Durbin | Pharmacist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2018-04-20 |
| 1427566470 | Cheri L Harold | Pharmacist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2018-01-11 |
| 1871000190 | Thomas Cyrus Wells | Pharmacist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2018-01-08 |
| 1801978713 | Wal-mart Stores East, Lp | Technician/Technologist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2006-10-19 |
| 1114947306 | Billy Michael Beecham | Optometrist | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2006-07-20 |
| 1245257435 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 768 S Jefferson Ave, Cookeville, TN 38501-4070 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1588287353 | National Vision Inc | Optometrist | 1265 Interstate Dr Ste 203, Cookeville, TN 38501-5227 | 2020-05-27 |
| 1629284435 | Ronald D Hall | Optometrist | 340 S Lowe Ave, Cookeville, TN 38501-4737 | 2007-05-16 |
| 1891851937 | Heather Kay Brown-conner | Optometrist | 1177 Sams St, Cookeville, TN 38506-4007 | 2006-12-30 |
| 1609827542 | Garrett Clark Shepherd | Optometrist | 45 N Dixie Ave, Cookeville, TN 38501-3372 | 2006-05-15 |
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1366425605 | Ralph H Mullins | Optometrist | 585 E 10th St, Cookeville, TN 38501-1807 | 2005-11-21 |
| 1477546638 | Jane Elisabeth Wheeler | Optometrist | 768 S Willow Ave Ste A, Cookeville, TN 38501-3892 | 2005-08-23 |
| 1801895438 | Stephen M Richardson | Optometrist | 430 Neal St, Cookeville, TN 38501-0916 | 2005-07-15 |
| 1245237247 | James E. Miller | Optometrist | 628 E 10th St, Cookeville, TN 38501-1810 | 2005-07-05 |
| 1972507614 | Jason C Clopton | Optometrist | 1080 Neal St, Ste 300, Cookeville, TN 38501-4038 | 2005-06-10 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.