Thomas Joseph Meyer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2258 Issued in MN

Practice address

406 Rosedale Shopping Ctr
Pearle Vision
Roseville, MN 55113-3009

Phone

(651) 631-9394

Fax

(651) 631-9698

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

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

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.

• Optometric Services, LLC

  • Optometrist
  • Roseville, MN
  • NPI 1518010495
  Medicare reassignment NPD Authorized official
• Optometric Services, LLC.

  • Optometrist
  • West St Paul, MN
  • NPI 1902049943
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-777-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ROSEDALE SHOPPING CTR",
            "address_2": "PEARLE VISION",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133009",
            "telephone_number": "651-631-9394",
            "fax_number": "651-631-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "970481013975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2201069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3K202ME",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Drake Menge, MD
• Merging Rivers LLC
• Lindsay Merriman, MD
• Metro Treatment of Minnesota LP (St Paul Metro Treatment Center)
• Benjamin Dutton Meyer, M.D.
• Peggye Mezile
• Michael J. Petersen, D.D.S., P.a.
• Michael Joyce DPM PA
• Midwest Health Solutions PA (Platinum Health Solutions)
• Midwest Med Management, Inc

• Optometrist in Roseville, MN
• Providers in Roseville, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.