Organization Active NPI

Thomas C O'Neil M.D. Inc

  • Ophthalmology Physician
  • Tracy, CA
National Provider Identifier
1154639896
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A34142 Issued in CA
Legal business name
THOMAS C O'NEIL M.D. INC
Practice address
303 W Eaton Ave
Tracy, CA 95376-3418
Phone
(209) 836-1155
Fax
(209) 836-0478
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Thomas C O'Neil, M.D.NPI 1831162999
Title
Preseident of Corporation
Phone
(209) 836-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A34142 CA Primary

Addresses

Primary practice location

303 W Eaton Ave
Tracy, CA 95376-3418

Mailing address

PO Box 986
Woodbridge, CA 95258-0986
Phone (209) 339-9036

Other names 1

  • Tracy Eye Care Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110617000258 CA Part B Supplier - Clinic/Group Practice 6002094257 Receives reassigned benefits from 1 practitioner
Practice locations: Tracy, CA

National Provider Directory

National Provider Directory
Tax ID family
Thomas C O'Neil MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 W Eaton Ave
Tracy, CA 95376
Phone (209) 836-1155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1154639896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580986",
            "telephone_number": "209-339-9036",
            "fax_number": "209-339-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763418",
            "telephone_number": "209-836-1155",
            "fax_number": "209-836-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C O'NEIL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESEIDENT OF CORPORATION",
        "authorized_official_telephone_number": "209-836-1155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A34142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy Eye Care Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.