Individual provider Active NPI

Thomas A Flynn, OD

  • Optometrist
  • Orland, CA
National Provider Identifier
1205867660
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
66580 Issued in CA
Practice address
203 Walker St
Suite 1
Orland, CA 95963-9904
Phone
(530) 865-9233
Fax
(530) 865-2398
NPI assigned
Jul 5, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 66580 CA Primary

Addresses

Primary practice location

203 Walker St
Suite 1
Orland, CA 95963-9904

Mailing address

203 Walker St
Suite 1
Orland, CA 95963-9904
Phone (530) 865-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050407000544 CA Practitioner - Optometry 2062469455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Walker St
Orland, CA 95963-1457

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a. Flynn, 0.D., a Professional Corp. Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Thomas a. Flynn, O.D. a Professional Corporation Optometrist CurrentSince Aug 2, 2017 Accepting new patients

Locations

203 Walker St
Ste 1
Orland, CA 95963
Phone (530) 527-9242

508 Main St
Ste A
Red Bluff, CA 96080
Phone (530) 527-9242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1205867660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALKER ST",
            "address_2": "SUITE 1",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959639904",
            "telephone_number": "530-865-9233",
            "fax_number": "530-865-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALKER ST",
            "address_2": "SUITE 1",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959639904",
            "telephone_number": "530-865-9233",
            "fax_number": "530-865-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "66580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.