Thomas P Kislan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000090 Issued in PA

Practice address

852 N 9TH St
Stroudsburg, PA 18360-1206

Phone

(570) 421-3342

Fax

(570) 421-8490

NPI assigned

Jan 5, 2006

Last updated

Mar 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Sandra M Krokos and Thomas P Kislan PCGroup PAC ID 6406842202, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• DRS Sandra M Krokos & Thomas P Kislan PC

  • Optometrist
  • Tannersville, PA
  • NPI 1487784005
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Sandra M Krokos & Thomas P Kislan PC

  dba Hazleton Eye Specialists

  • Optometrist
  • Hazle Township, PA
  • NPI 1699947085
  NPD (past) Authorized official
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Pottsville Eye Specialists

  • Optometrist
  • Pottsville, PA
  • NPI 1518579671
  Authorized official Same address or phone
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Bangor Eye Specialists

  • Optometrist
  • Tannersville, PA
  • NPI 1609634799
  NPD
• Bloom Vision, LLC

  • Optometrist
  • Bloomsburg, PA
  • NPI 1255339065
  NPD (past)
• Bogar Vision Care LLC

  • Optometrist
  • Bloomsburg, PA
  • NPI 1417705625
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1255319646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601206",
            "telephone_number": "570-421-3342",
            "fax_number": "570-421-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601206",
            "telephone_number": "570-421-3342",
            "fax_number": "570-421-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLAN",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.