Active NPI
Herbert P. Thomas, O.D.
- Optometrist
- Leesville, LA
National Provider Identifier
1245225697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 633
- Practice address
- 101 W Mechanic St
Leesville, LA 71446-3464 - Phone
- (337) 239-2020
- Fax
- (337) 239-0755
- NPI assigned
- Sep 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 633 | LA | Primary |
Addresses
Primary practice location
101 W Mechanic St
Leesville, LA 71446-3464
Mailing address
PO Box 681
Leesville, LA 71496-0681
Phone (337) 239-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041092 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633 | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1245225697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714960681",
"telephone_number": "337-239-2020",
"fax_number": "337-239-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MECHANIC ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714463464",
"telephone_number": "337-239-2020",
"fax_number": "337-239-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "HERBERT",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041092",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.