Active NPI
Charles Anthony Thomason, O.D.
- Optometrist
- Huntingdon, TN
National Provider Identifier
1063585677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD 000915
- Practice address
- 12707 Lexington St
Huntingdon, TN 38344-3720 - Phone
- (731) 986-4932
- Fax
- (731) 986-4932
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OD 000915 | TN | Primary |
Addresses
Primary practice location
12707 Lexington St
Huntingdon, TN 38344-3720
Mailing address
PO Box 649
Huntingdon, TN 38344-0649
Phone (731) 986-4932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3595277 | Medicaid | TN | |
| 410023399 | Other | TN | RETIRED RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12707 Lexington St
Huntingdon, TN 38344-3720
Phone (731) 986-4932
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 915 | TN | MD | Marriage & Family Therapist |
| OD 000915 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care for Life TN, LLC | Optometrist | Current | Accepting new patients |
| Charles a Thomason | Past | Accepting new patients |
Locations
301 S Perimeter Park Dr
Ste 100
Nashville, TN 37211
Phone (615) 478-6748
301 S Perimeter Park Dr
Ste 21
Nashville, TN 37211
Phone (615) 781-4238
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.
-
- Optometrist
- Nashville, TN
- NPI 1497017586
-
- Eyewear Supplier
- Huntingdon, TN
- NPI 1619133949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1063585677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383440649",
"telephone_number": "731-986-4932",
"fax_number": "731-986-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12707 LEXINGTON ST",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383443720",
"telephone_number": "731-986-4932",
"fax_number": "731-986-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "CHARLES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD 000915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3595277",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETIRED RAILROAD MEDICARE",
"identifier": "410023399",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.