Active NPI
Thomas Edward Wilkins, LDO
- Optician
- Thomaston, GA
National Provider Identifier
1093286726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO000306
- Practice address
- 855 N Church St
Thomaston, GA 30286-3622 - Phone
- (706) 648-9130
- NPI assigned
- Dec 6, 2018
- Last updated
- Dec 6, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | LDO000306 | GA | |
| Contact Lens Fitter | 156FC0801X | LDO000306 | GA | |
| Optician | 156FX1800X | LDO000306 | GA | Primary |
Addresses
Primary practice location
855 N Church St
Thomaston, GA 30286-3622
Mailing address
116 Deer Chase Rd
Thomaston, GA 30286-2744
Phone (706) 975-8180
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO000306 | GA | MD | Contact Lens Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1093286726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 DEER CHASE RD",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302862744",
"telephone_number": "706-975-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N CHURCH ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863622",
"telephone_number": "706-648-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "GA",
"license": "LDO000306",
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "GA",
"license": "LDO000306",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO000306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.