Active NPI
Thomas Kent Wilcox, O.D.
- Optometrist
- Roanoke, VA
National Provider Identifier
1013993963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000148
- Practice address
- 4135 Franklin Rd
Roanoke, VA 24018-5703 - Phone
- (540) 776-2930
- NPI assigned
- Dec 21, 2005
- 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 | 0618000148 | VA | Primary |
Addresses
Primary practice location
4135 Franklin Rd
Roanoke, VA 24018-5703
Mailing address
1507 Hershberger Rd NW Ste C
Roanoke, VA 24012-7300
Phone (540) 362-1030
Other practice location 1
4802 Valley View Blvd NW
Roanoke, VA 24012-2001
Phone (540) 563-8279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010005353 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000148 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas K. Wilcox, O.D. and Associates, P.C. | Past | Accepting new patients | |
| Rockingham Eye Physicians & Associates, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Roanoke, VA
- NPI 1578639910
-
- Ophthalmology Physician
- Rockingham, VA
- NPI 1467534453
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013993963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 HERSHBERGER RD NW STE C",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240127300",
"telephone_number": "540-362-1030",
"fax_number": "540-362-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 FRANKLIN RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240185703",
"telephone_number": "540-776-2930"
}
],
"practiceLocations": [
{
"address_1": "4802 Valley View Blvd NW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240122001",
"country_code": "US",
"telephone_number": "540-563-8279",
"fax_number": "540-563-5598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILCOX",
"first_name": "THOMAS",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010005353",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.