Matthew Richard Eernisse is a Warren, Pennsylvania based male Optometrist with 4 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Matthew Richard Eernisse is OEG003709 for Optometry in Pennsylvania. Matthew Richard Eernisse 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Matthew Richard Eernisse speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1153747803
Enrollment ID:
I20200812002968
NPI Number:
1477172138
NPI Enumeration Date:
13 Apr, 2020
NPI Last Update On:
11 Aug, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Richard Eernisse are as mentioned below.
License Number
Specialization
State
Status
OEG003709
Optometry
Pennsylvania
Primary
TUV009265
Optometry
New York
Secondary
Student in an Organized Health Care Education/Training Program
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Matthew Richard Eernisse has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Community Eye Care Specialists Pc (8527956788)
6
Community Eye Care Specialists Pc (8527956788)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Richard Eernisse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
103797012
Medicaid
Pennsylvania
06352987
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2 Farm Colony Dr, Warren, Pennsylvania
Zip:
16365-5203
Phone Number:
716-484-6700
Fax Number:
716-487-0166
Patients can reach Matthew Richard Eernisse at 2 Farm Colony Dr, Warren, Pennsylvania or can call to book an appointment on 716-484-6700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.