Thomas M Kretzmer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA001241 Issued in GA

Practice address

406 W Main St
Thomaston, GA 30286

Phone

(706) 647-6608

Fax

(706) 647-9207

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Southern College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1164520896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "30286",
            "telephone_number": "706-647-6608",
            "fax_number": "706-647-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "30286",
            "telephone_number": "706-647-6608",
            "fax_number": "706-647-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZMER",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA001241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000446773C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Kent, N.P.
• Darryl Hugh Knight, M.D.
• Mary Knight
• Stephanie H Kong, M.D.
• Diana Lynn Kreismanis, MSN, APRN, FNP-C
• Jessica Lamme
• Sabrina M. Lancaster, FNP
• Crystal H Lee, LPN
• Sybil Lew, NP
• Allison Birdsong Livingston, APRN

• Optometrist in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
• 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.