MATTHEW RYAN AUSTIN (NPI# 1922591957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591957 |
| Entity Type | Individual |
| Full Name | MATTHEW RYAN AUSTIN |
| Credential | OD |
| Practice Address |
4542 Elkhart Rd Ste 100 Elkhart IN 46517-3572 |
| Practice Telephone | 5745384728 |
| Mailing Telephone | 5745384728 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18004136A | IN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901005108 | MI | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 E University Dr Ste 150, Granger, IN 465304026 | 5742723937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447463658 | Matthew J Austin | Radiology | 5801 Bremo Rd Ste 208, Richmond, VA 23226-1907 | 2007-05-07 |
| 1831318468 | Matthew Austin | Physical Therapist | 10006 Auburn Rd, Fort Wayne, IN 46825 | 2007-04-24 |
| 1003439779 | Matthew Scott Austin | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1114487220 | Matthew Kyle Austin | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-03-23 |
| 1356829535 | Matthew Austin | Pharmacist | 310 N 1st Ave, Iowa City, IA 52245-3617 | 2018-07-31 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1891184651 | Matthew Austin | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-01-16 |
| 1730591397 | Matthew Austin | Internal Medicine | 20 York St., Department of Medicine, New Haven, CT 06510 | 2014-05-29 |
| 1861753287 | Matthew B Austin | Internal Medicine | 608 Nw 9th St, Suite 3110 & 4106, Oklahoma City, OK 73102-1068 | 2012-06-01 |
| 1518914886 | Matthew Stuart Austin | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2006-05-30 |
| Street Address |
4542 ELKHART RD STE 100 |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542600 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4542 Elkhart Rd Ste 100, Elkhart, IN 46517-3572 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| 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 |
|---|---|---|---|---|
| 1285151985 | Eyecare Express | Optometrist | 205 County Road 6 E Ste P, Elkhart, IN 46514-5583 | 2017-08-24 |
| 1821338229 | Vision Source of Liberal Inc | Optometrist | 621 E Stevens St, Elkhart, KS 67950-7709 | 2013-02-21 |
| 1598021727 | Eyecare Indiana Ll, PC | Optometrist | 3701 S. Main Street, Elkhart, IN 46517-3106 | 2012-04-02 |
| 1619194933 | Richard Erdmann | Optometrist | 1751 E. Bristol St., Elkhart, IN 46514 | 2007-04-19 |
| 1750421624 | Susan Westfall Erdmann | Optometrist | 1751 E Bristol St, Elkhart, IN 46514-3968 | 2007-02-08 |
| 1922107465 | James L Myers II O.d. P.C. | Optometrist | 1789 E Bristol St, Suite C, Elkhart, IN 46514-6607 | 2006-09-21 |
| 1710997044 | Indiana Vision Clinic, Inc | Optometrist | 2730a Cassopolis St, Elkhart, IN 46514-5102 | 2006-08-09 |
| 1326064981 | Michael B Gural | Optometrist | 2224 Cassopolis St, Elkhart, IN 49516-5133 | 2006-07-15 |
| 1811950009 | Lakeshore Eyecare, Inc. | Optometrist | 830 Parkway Ave Ste E, Elkhart, IN 46516-9343 | 2006-04-09 |
| 1891784971 | City Optical Co Inc | Optometrist | 3701 S Main Street, Elkhart, IN 46517-3106 | 2005-10-20 |
| Find all providers in ELKHART | ||||
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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.