Organization Active NPI

Thom Dinh, OD, LLC

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1255617551
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1598-631T Issued in LA
Legal business name
THOM DINH, OD, LLC
Practice address
4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771
Phone
(337) 984-7112
Fax
(337) 984-7114
NPI assigned
Oct 31, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Thom Thi Dinh, ODNPI 1649584087
Title
Owner
Phone
(337) 984-7112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1598-631T LA Primary

Addresses

Primary practice location

4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771

Mailing address

4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771
Phone (337) 984-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000283 LA Part B Supplier - Clinic/Group Practice 2769658012 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2294034Thom Dinh OD, LLC4415 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Locations

4415 Ambassador Caffery Pkwy
Lafayette, LA 70508

4415 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 984-7112

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1255617551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086771",
            "telephone_number": "337-984-7112",
            "fax_number": "337-984-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086771",
            "telephone_number": "337-984-7112",
            "fax_number": "337-984-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOM DINH, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "THOM",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-984-7112",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1598-631T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.