Active NPI
Thomas Christian Foote, OPHTHALMIC DISPENSER
- Optician
- Arcade, NY
National Provider Identifier
1164545174
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5313C
- Practice address
- 95 Old Orchard Rd
Arcade, NY 14009 - Phone
- (585) 752-3838
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | 5313C | NY | |
| Optician | 156FX1800X | 5313C | NY | Primary |
Addresses
Primary practice location
95 Old Orchard Rd
Arcade, NY 14009
Mailing address
PO Box 165
Java Center, NY 14082-0165
Phone (585) 752-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5313C | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1164545174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "JAVA CENTER",
"state": "NY",
"postal_code": "140820165",
"telephone_number": "585-752-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 OLD ORCHARD RD",
"city": "ARCADE",
"state": "NY",
"postal_code": "14009",
"telephone_number": "585-752-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "THOMAS",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "OPHTHALMIC DISPENSER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "NY",
"license": "5313C",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "5313C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcade, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.