Individual provider Active NPI

Thomas M. Callan, OD

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1043348394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 7749 TPG Issued in CA
Practice address
675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860
Phone
(925) 933-0270
Fax
(925) 933-4721
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 7749 TPG CA Primary

Addresses

Primary practice location

675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860

Mailing address

675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860
Phone (925) 933-0270

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

LicenseStateTypeSpecialty
OPT 7749 TPGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Care Optometry Optometrist PastSince Dec 31, 2021 Accepting new patients
Michael a. Roy, O.D. Inc. PastSince Oct 5, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043348394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-0270",
            "fax_number": "925-933-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-0270",
            "fax_number": "925-933-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7749 TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.