Individual provider Active NPI

Michael Thumm, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1154521557
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6163 Issued in OH
Practice address
6500 Sawmill Rd
Columbus, OH 43235-4942
Phone
(614) 734-2685
Fax
(614) 798-0264
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6163 OH Primary

Addresses

Primary practice location

6500 Sawmill Rd
Columbus, OH 43235-4942

Mailing address

6500 Sawmill Rd
Columbus, OH 43235-4942
Phone (614) 734-2685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140826000717 OH Practitioner - Optometry 7911084066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuttle Eye Associates IncGroup PAC ID 2365594447, 3 clinicians
Sawmill Eye Associates, Inc.Group PAC ID 6204989213, 4 clinicians

Practice addresses (Care Compare)

5805 Frantz Rd
Dublin, OH 43016-4142
Phone (614) 210-0321

6500 Sawmill Rd
Columbus, OH 43235-4942
Phone (614) 734-2685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6163OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuttle Eye Associates Inc Optometrist CurrentSince Aug 20, 2014 Accepting new patients
Sawmill Eye Associates, Inc. Optometrist CurrentSince Aug 1, 2014 Accepting new patients
H Kenneth Kopolow O.D & Assoc P.C Optometrist Past Accepting new patients

Locations

6500 Sawmill Rd
Columbus, OH 43235
Phone (614) 734-2685

5805 Frantz Rd
Dublin, OH 43016
Phone (614) 210-0321

Organizations & group practices 3

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1154521557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354942",
            "telephone_number": "614-734-2685",
            "fax_number": "614-798-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354942",
            "telephone_number": "614-734-2685",
            "fax_number": "614-798-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMM",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.