Trevor Lee Thomas, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

1401 S 108TH St
Milwaukee, WI 53214-4012

Phone

(414) 226-6619

NPI assigned

Oct 18, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Onyx Eyecare LLC

  • Optometrist
  • Milwaukee, WI
  • NPI 1639957723

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1073334439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 108TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-226-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 108TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-226-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TREVOR",
        "middle_name": "LEE",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamara Thomas
• Shamara Thomas
• Shanita Marie Thomas, MD
• Taylor J Thomas, DNP, CCRN, AGACNP-BC
• Todd M. Thomas, LCSW, LICSW, LMFT
• Victoria J Thomas, SAC-IT
• Yolanda Marie Thomas
• Zachary Ethan Thomas, LPC
• Zandra Diane Thomas
• Donna Jean Thome, MSW

• Optician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Optician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.