Active NPI
Scott A. Tomasino, O.D.
- Optometrist
- O Fallon, MO
National Provider Identifier
1124024906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02664
- Practice address
- 302 E Pitman St
O Fallon, MO 63366-2623 - Phone
- (636) 272-1444
- Fax
- (636) 272-1359
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1659799575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000021 | MO | Practitioner - Optometry | 5395813281 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02664 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iverson-Tomasino Eyecare Inc | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants, LLC | Past | Accepting new patients |
Locations
302 E Pitman St
O Fallon, MO 63366
Phone (636) 272-1444
1140 Tom Ginnever Ave
O Fallon, MO 63366
Phone (636) 272-1444
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02664 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
302 E Pitman St
O Fallon, MO 63366-2623
Mailing address
302 E Pitman St
O Fallon, MO 63366-2623
Phone (636) 272-1444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2010.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1124024906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E PITMAN ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662623",
"telephone_number": "636-272-1444",
"fax_number": "636-272-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E PITMAN ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662623",
"telephone_number": "636-272-1444",
"fax_number": "636-272-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASINO",
"first_name": "SCOTT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.