Thomas Pan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12849T Issued in CA

Practice address

2110 Forest Ave
Suite B
San Jose, CA 95128-1469

Phone

(408) 295-3433

Fax

(408) 293-4872

NPI assigned

Aug 26, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in CA

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 and National Provider Directory roles.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• J Pietrantonio OD Inc

  • Optometrist
  • Los Gatos, CA
  • NPI 1346442043
  NPD
• DRS. Liu & Longacre, Inc.

  • Optometrist
  • Pleasanton, CA
  • NPI 1457577876
  NPD (past)
• First Optometric Care of Northern California PC

  • Optometrist
  • Cupertino, CA
  • NPI 1255142980
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1285742601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-295-3433",
            "fax_number": "408-293-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-295-3433",
            "fax_number": "408-293-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12849T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "12849T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hongjun Pan, L.AC,
• Jiao Pan, L.AC
• Karen Pan, RD CDE
• Rick Li Pan, DMD
• Rong Pan, DDS
• Tzu-in Pan
• Dimitrios Panagakos, PA-C
• Maria Panaligan
• Disha Panchal
• Heena Deepak Panchal, M.D.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.