Active NPI
Michelle Ann Thomas, O.D.
- Optometrist
- Mechanicsburg, PA
National Provider Identifier
1083675599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET008738
- Practice address
- 4900 Carlisle Pike
Hampden Optical
Mechanicsburg, PA 17050-7709 - Phone
- (717) 761-2295
- Fax
- (717) 761-8123
- NPI assigned
- Apr 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET008738 | PA | Primary |
| Optometrist | 152W00000X | OB008455 | PA |
Addresses
Primary practice location
4900 Carlisle Pike
Hampden Optical
Mechanicsburg, PA 17050-7709
Mailing address
4900 Carlisle Pike
Hampden Optical
Mechanicsburg, PA 17050-7709
Phone (717) 761-2295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5252535 | Other | PA | AETNA PIN |
| 397213 | Other | PA | NATL VISION ADMIN PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OB008455 | PA | MD | Optometrist |
| OET008738 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1083675599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 CARLISLE PIKE",
"address_2": "HAMPDEN OPTICAL",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507709",
"telephone_number": "717-761-2295",
"fax_number": "717-761-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 CARLISLE PIKE",
"address_2": "HAMPDEN OPTICAL",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507709",
"telephone_number": "717-761-2295",
"fax_number": "717-761-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OET008738",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OB008455",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "5252535",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATL VISION ADMIN PIN",
"identifier": "397213",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.