Active NPI
Micah J Thomason, O.D.
- Optometrist
- Springdale, AR
National Provider Identifier
1083853337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2634
- Practice address
- 1127 S Gutensohn Rd
Suite 101
Springdale, AR 72762-5228 - Phone
- (479) 750-3937
- Fax
- (479) 750-3943
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 2634 | AR | Primary |
Addresses
Primary practice location
1127 S Gutensohn Rd
Suite 101
Springdale, AR 72762-5228
Mailing address
1127 S Gutensohn Rd
Suite 101
Springdale, AR 72762-5228
Phone (479) 750-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1127 S Gutensohn Rd
Suite 101
Springdale, AR 72762-5189
Phone (479) 750-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2634 | AR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomason Eye Care, P.a. | Optometrist | Current | Accepting new patients |
Locations
200 N Progress Ave
Ste 90
Siloam Springs, AR 72761
Phone (479) 510-2020
1127 S Gutensohn Rd
Ste 101
Springdale, AR 72762
Phone (479) 750-3937
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.
-
- Optometrist
- Springdale, AR
- NPI 1578794509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1083853337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 S GUTENSOHN RD",
"address_2": "SUITE 101",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625228",
"telephone_number": "479-750-3937",
"fax_number": "479-750-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 S GUTENSOHN RD",
"address_2": "SUITE 101",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625228",
"telephone_number": "479-750-3937",
"fax_number": "479-750-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "MICAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.