Individual provider Active NPI

Thomas L Thomsen, O.D.

  • Optometrist
  • Atlantic, IA
National Provider Identifier
1063483634
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02081 Issued in IA
Practice address
4 W 5TH St
Atlantic, IA 50022-1244
Phone
(712) 243-1965
Fax
(712) 243-1966
NPI assigned
Jan 31, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02081 IA Primary

Addresses

Primary practice location

4 W 5TH St
Atlantic, IA 50022-1244

Mailing address

4 W 5TH St
PO Box 249
Atlantic, IA 50022-1244
Phone (712) 243-1965

Other identifiers 2

IdentifierTypeStateIssuer
2155283MedicaidIA
4155283MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000184 IA Practitioner - Optometry 1850426651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

4 W 5TH St
Atlantic, IA 50022-1244
Phone (712) 243-1965

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robert H Sharp, PC Optometrist Current Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Dr. Robert H. Sharp, P.C. Optometrist CurrentSince Aug 15, 2000 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Dr. Robert H Sharp, PC Optometrist CurrentSince Aug 15, 2000 Accepting new patients
Newton Optometric Center P C Optometrist Past Accepting new patients
Newton Family Eye Care, P.C. Optometrist PastSince Jan 1, 2009 Accepting new patients

Locations

4 W 5th St
Atlantic, IA 50022
Phone (712) 243-1965

715 Davis Ave
Corning, IA 50841
Phone (641) 322-3147

807 N Sumner Ave
Creston, IA 50801
Phone (515) 222-6400

1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145

514 N 4th St
Red Oak, IA 51566
Phone (712) 623-9433

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1063483634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W 5TH ST",
            "address_2": "PO BOX 249",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221244",
            "telephone_number": "712-243-1965",
            "fax_number": "712-243-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W 5TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221244",
            "telephone_number": "712-243-1965",
            "fax_number": "712-243-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155283",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4155283",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.