Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Matthew Paul Axline, ODOPTOMETRIST

Individual provider Optometrist · NPI 1811003957

Mr. Matthew Paul Axline, ODOPTOMETRIST is an Optometry in Bucyrus, Ohio. Graduated from Ohio State University - College of Optometry in 2004, 22 years ago. Practices with Premier Optometry Group, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Trained at
Ohio State University - College of Optometry
Licensed in
OH
In the registry since
2006

Practice location Address checks out

905 S Poplar St
Bucyrus, OH 44820-2663
Phone: (419) 562-3822
Fax: (419) 562-9939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5520 (OH)

Record details

NPI number1811003957
Entity typeIndividual (Type 1)
GenderMale
Credentials ODOPTOMETRIST
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Premier Optometry Group, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bucyrus