Individual provider Active NPI

Madeline J. Thomas, O.D., M.A.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1275661837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1228DT Issued in KY
Practice address
3834 Taylorsville Rd # A2
Louisville, KY 40220-1302
Phone
(502) 473-8600
Fax
(502) 473-8600
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1228DT KY Primary

Addresses

Primary practice location

3834 Taylorsville Rd # A2
Louisville, KY 40220-1302

Mailing address

3834 Taylorsville Rd # A2
Louisville, KY 40220-1302
Phone (502) 473-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821001306 KY Practitioner - Optometry 2769731900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Snipes OD & Associates PSC Optometrist CurrentSince Feb 9, 2022 Accepting new patients
Seniorwell Pod of Missouri LLC Past Accepting new patients

Locations

7900 Shelbyville Rd
Ste A15
Louisville, KY 40222
Phone (502) 327-8568

7706 Bardstown Rd
Ste 102
Louisville, KY 40291
Phone (502) 968-6860

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275661837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 TAYLORSVILLE RD # A2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201302",
            "telephone_number": "502-473-8600",
            "fax_number": "502-473-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 TAYLORSVILLE RD # A2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201302",
            "telephone_number": "502-473-8600",
            "fax_number": "502-473-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MADELINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1228DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.