Thomas Gregory Willmon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2291 Issued in NM

Practice address

1217 Pile St
Clovis, NM 88101-5944

Phone

(575) 763-5522

Fax

(575) 763-4722

NPI assigned

Jan 17, 2006

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

University of Houston - College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clovis Vision Associates PAGroup PAC ID 2163564626, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clovis Vision Associates PA

  • Optometrist
  • Clovis, NM
  • NPI 1669466900
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1215917323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881020700",
            "telephone_number": "575-763-5522",
            "fax_number": "575-763-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 PILE ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015944",
            "telephone_number": "575-763-5522",
            "fax_number": "575-763-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMON",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0532",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00P511",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheri Lynn Williams, RN
• Daniel C. Williams
• Ingrid Stella Williams, LPCC
• Jennifer Kathleen Williams, M.S. CCC-SLP
• Brian E Willmon, MD
• Kelly Willoughby
• Donna D Wilson, CCC SLP
• Jeffery Morgan Wilson, DPT
• Oliva Wilson
• Patricia Sue Wilson, IDMT

• Optometrist in Clovis, NM
• Providers in Clovis, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.