Individual provider Active NPI

Micah J Thomason, O.D.

  • Optometrist
  • Springdale, AR
National Provider Identifier
1083853337
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2634 Issued in AR
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

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090926000023 AR Practitioner - Optometry 6901952365 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2634ARMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomason Eye Care, P.a. Optometrist CurrentSince Aug 1, 2009 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.

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

Verify at the official NPI Registry.