MATTHEW EIDOM (OD) – Optometrist, NPI 1801588967

MATTHEW EIDOM (OD) is a healthcare provider. based in Canton, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007165 (OH). The NPI Number for MATTHEW EIDOM (OD) is 1801588967

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
MATTHEW EIDOM (OD)
NPI
1801588967
Phone
(330) 494-4140
Address
4157 Belden Village Mall
Enumeration Date
25 May 2023
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4403564020
Graduation Year
2023 (3 years ago)
PAC ID
0042670192
Group Practice PAC ID
0042539389
Professional Enrollment ID
I20230720002191
Address ID
OH441261300FA3580XWEST200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for MATTHEW EIDOM (OD)

  • 4157 Belden Village Mall

    Canton, OH 447182501

    Phone: (330) 494-4140

    Fax: (330) 497-0778

    Type: Location

  • 4690 Midway Mall

    Elyria, OH 440352469

    Phone: (440) 324-4557

    Fax: (440) 324-5078

    Type: Location

  • 3265 W Market St

    Fairlawn, OH 443333337

    Phone: (330) 252-7457

    Fax: (330) 836-2985

    Type: Location

  • 3580 WESTGATE

    FAIRVIEW PARK, OH 441261300

    Phone: (440) 356-4020

    Fax: (440) 356-4022

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: CooperVision Inc. ($48).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$48
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230720002191IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042539389View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

How is MATTHEW EIDOM (OD) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW EIDOM (OD) with NPI 1801588967.
Is MATTHEW EIDOM (OD) listed as active for patients and plans?
The listing shows MATTHEW EIDOM (OD) as active in the NPI system.
What healthcare role does MATTHEW EIDOM (OD) hold?
Scheduling teams often label MATTHEW EIDOM (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is MATTHEW EIDOM (OD) based?
MATTHEW EIDOM (OD) is tied to Canton, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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