Active NPI
Daniel Eugene Thomas, O.D.
- Optometrist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1203
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1203 | AZ | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Highline Eye Care, PLLC | Optometrist | Current | Accepting new patients |
| The Eye Gallery Inc. | Optometrist | Past | 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.
-
- Optometrist
- Flagstaff, AZ
- NPI 1023696408
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Eyewear Supplier
- Flagstaff, AZ
- NPI 1780855668
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.