Edmond Hartley Thall, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

LT23941 Issued in ND

Practice address

223 Grappa Farms Dr
Highland Heights, OH 44143-3720

Phone

(231) 220-5369

NPI assigned

Apr 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, PA, ND3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Ophthalmology

Education

Perelman School of Med at the University of Pennsylvania, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Innovation Centers of Pennsylvania LLCGroup PAC ID 0840625349, 86 clinicians

Eye Clinic of NDGroup PAC ID 3274511423, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.98 of 100Reported as group

Quality

97.97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethall36710@ehrdirect.uhhospitals.org
• Direct secure messaging: ethall@erieretinal.intellechartdirect.net
• Direct secure messaging: edmond.thall@vip.emadirect.md

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.

• Eye Clinic of ND

  • Ophthalmology Physician
  • Bismarck, ND
  • NPI 1497853717
  Medicare reassignment Care Compare group NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Ophthalmology Physician
  • Kingston, PA
  • NPI 1962046458
  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Ophthalmology

  Medicare reassignment NPD
• Erie Retinal Surgery, Inc.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1457313868
  Medicare reassignment NPD
• Vision Innovation Centers of Pennsylvania LLC

  • Optician
  • West Reading, PA
  • NPI 1811608078
  NPD
• Vision Innovation Centers of Pennsylvania, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomsburg, PA
  • NPI 1275177602

  Ophthalmology

  NPD
• Edol Optical Inc

  • Eyewear Supplier
  • Lancaster, PA
  • NPI 1912449489
  NPD (past)
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1063475358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GRAPPA FARMS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433720",
            "telephone_number": "231-220-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GRAPPA FARMS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433720",
            "telephone_number": "231-220-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014112",
            "country_code": "US",
            "telephone_number": "701-222-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THALL",
        "first_name": "EDMOND",
        "middle_name": "HARTLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "LT23941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64432017",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127627104",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edmondthall@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Heidi Tolchinsky, LISW-S, LICDC
• Traditions Hospice of Highland Heights, LLC (The Care Team)

• Ophthalmology Physician in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.

Verify at the official NPI Registry.