Nicole Anna Thomas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002562 Issued in AZ

Practice address

2887 S Market St
Gilbert, AZ 85295-1303

Phone

(480) 366-3963

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Gaze Optometry LLC

  • Optometrist
  • Gilbert, AZ
  • NPI 1144943465
  NPD Authorized official

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1295233518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43722 W BEDFORD DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382329",
            "telephone_number": "208-850-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 S MARKET ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951303",
            "telephone_number": "480-366-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NICOLE",
        "middle_name": "ANNA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gazeoptometryaz@gmail.com",
            "affiliation": "N",
            "address_1": "2887 S Market St",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852951303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lawrence T Thomas Jr.
• Leah M Thomas
• Mariah Thomas
• Maxwell Thomas, M.D.
• Meagan L Thomas, PA
• Perris Thomas, RBT
• Sarah Thomas
• Sharly K Thomas, AG-ACNP
• Siji Manu Thomas, FNP
• Stephanie K Thomas

• Optometrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.