Thomas Simmons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-10009 Issued in ID

Practice address

10 Cedron Rd
Victor, ID 83455-5015

Phone

(208) 787-3937

Fax

(208) 787-3939

NPI assigned

Oct 2, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teton Valley Vision PC

  • Optometrist
  • Victor, ID
  • NPI 1073918173
  Medicare reassignment NPD Authorized official
• Thomas L Simmons

  dba Teton Valley Vision Clinic

  • Optometrist
  • Victor, ID
  • NPI 1447444716
  Authorized official Same address or phone
• Teton Valley Health Care, Inc

  dba Teton Valley Health Care Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Driggs, ID
  • NPI 1053669598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1144313305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834550979",
            "telephone_number": "208-787-3937",
            "fax_number": "208-787-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CEDRON RD",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834555015",
            "telephone_number": "208-787-3937",
            "fax_number": "208-787-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-10009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexy Vada Nelson, RD
• Alan H Oram, DO
• Phillips Therapy Incorporated
• Madeleine McQueeney Pitts, RN
• Meredith Potter
• Sarah Smith, DPT
• McKenzie E. Steiner, NMD
• Tristan Taylor, D.D.S.
• Teton Dietetics LLC
• Teton Headwaters, Inc Dba Aspen Wellness

• Optometrist in Victor, ID
• Providers in Victor, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.