Thomas Michael Adamczak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003746 Issued in MI

Practice address

1315 E Colby St
Suite a
Whitehall, MI 49461-1283

Phone

(231) 894-9300

Fax

(231) 894-9301

NPI assigned

Jul 21, 2005

Last updated

Feb 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E.C. One, PLLCGroup PAC ID 0547217184, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• E.C. One, PLLC

  dba Eye Care One

  • Optometrist
  • Fremont, MI
  • NPI 1639137508
  Medicare reassignment Care Compare group NPD
• Eye Care One, PLLC

  dba Eye Care One

  • Optometrist
  • Spring Lake, MI
  • NPI 1033199153
  NPD (past)
• Kent Vision Centers Inc

  dba Kent Optical

  • Optometrist
  • Muskegon, MI
  • NPI 1245315589
  NPD (past)
• Kent Vision Centers Inc

  dba Smeelink Optical

  • Optometrist
  • Grand Rapids, MI
  • NPI 1912082298
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1083614911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-846-0620",
            "fax_number": "616-844-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 E COLBY ST",
            "address_2": "SUITE A",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611283",
            "telephone_number": "231-894-9300",
            "fax_number": "231-894-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCZAK",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203050498",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383628290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900F111560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900F210170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elias John Achey, DMD
• American Hearing Centers, LLC (Sonus Sf0005)
• Angela Hall (Pinewood Retirement Home)
• John James Archambeault, PA-C
• B Well Chiropractic & Wellness PLLC
• Balancing Mindsets PLLC

• Optometrist in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.