Individual provider Active NPI

Daniel Eugene Thomas, O.D.

  • Optometrist
  • Flagstaff, AZ
National Provider Identifier
1013971282
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1203 Issued in AZ
Practice address
2050 S Woodlands Village Blvd
Suite #3
Flagstaff, AZ 86001-2971
Phone
(928) 226-9300
Fax
(928) 226-8651
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1203 AZ Primary

Addresses

Primary practice location

2050 S Woodlands Village Blvd
Suite #3
Flagstaff, AZ 86001-2971

Mailing address

2050 S Woodlands Village Blvd
Suite #3
Flagstaff, AZ 86001-2971
Phone (928) 226-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101213000168 AZ Practitioner - Optometry 3577548924 Reassigns benefits to 2 organizations
I20150218001842 TX Practitioner - Optometry 3577548924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Eye Care, PLLCGroup PAC ID 5395143572, 3 clinicians

Practice addresses (Care Compare)

1600 W University Ave
Suite 105
Flagstaff, AZ 86001-3154
Phone (928) 240-9214

2050 S Woodlands Village Blvd
Suite 3
Flagstaff, AZ 86001-2972
Phone (928) 226-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1203AZMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 4, 2015 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 4, 2015 Accepting new patients
Highline Eye Care, PLLC Optometrist CurrentSince Jan 14, 2026 Accepting new patients
The Eye Gallery Inc. Optometrist PastSince Jan 1, 2003 Accepting new patients

Locations

1600 W University Ave
Ste 105
Flagstaff, AZ 86001
Phone (928) 240-9214

500 Indiana Ave
Winslow, AZ 86047

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1013971282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S WOODLANDS VILLAGE BLVD",
            "address_2": "SUITE #3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012971",
            "telephone_number": "928-226-9300",
            "fax_number": "928-226-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S WOODLANDS VILLAGE BLVD",
            "address_2": "SUITE #3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012971",
            "telephone_number": "928-226-9300",
            "fax_number": "928-226-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIEL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.