Dr Thomas OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 13656 Issued in FL

Legal business name

DR THOMAS OD PA

Practice address

1396 SW 160TH Ave
Suite #2
Sunrise, FL 33326-1965

Phone

(954) 888-6466

Fax

(954) 888-6681

NPI assigned

Feb 19, 2008

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charmaine Thomas, O.D.NPI 1871631135

Title

Secretary

Phone

(954) 888-6466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine Thomas, O.D.

  • Optometrist
  • Sunrise, FL
  • NPI 1871631135
  Medicare reassignment NPD Authorized official
• Richard Thomas, O.D.

  • Optometrist
  • Sunrise, FL
  • NPI 1861530131
  Medicare reassignment NPD

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1194993527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 SW 160TH AVE",
            "address_2": "SUITE #2",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261965",
            "telephone_number": "954-888-6466",
            "fax_number": "954-888-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 SW 160TH AVE",
            "address_2": "SUITE #2",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261965",
            "telephone_number": "954-888-6466",
            "fax_number": "954-888-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-888-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 13656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.