Individual provider Active NPI

Charles Anthony Thomason, O.D.

  • Optometrist
  • Huntingdon, TN
National Provider Identifier
1063585677
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 000915 Issued in TN
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

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3595277MedicaidTN
410023399OtherTNRETIRED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000679 TN Practitioner - Optometry 5991812596 Reassigns benefits to 1 organization
Practice locations: Huntingdon, TN

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
915TNMDMarriage & Family Therapist
OD 000915TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care for Life TN, LLC Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Charles a Thomason PastSince May 26, 1993 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.

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

Verify at the official NPI Registry.