Individual provider Active NPI

Thomas Allen Dunn, OD

  • Optometrist
  • Troy, AL
National Provider Identifier
1295716116
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S558TA031 Issued in AL
Practice address
606 S George Wallace Drive
Troy, AL 36081
Phone
(334) 566-2020
Fax
(334) 566-2035
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 060156 AL
Optometrist 152W00000X S558TA031 AL Primary

Addresses

Primary practice location

606 S George Wallace Drive
Troy, AL 36081

Mailing address

606 S George Wallace Drive
PO Drawer 728
Troy, AL 36081
Phone (334) 566-2020

Other identifiers 3

IdentifierTypeStateIssuer
051507550OtherALBLUE CROSS BLUE SHIELD
2210102OtherALUNITED HEALTH CARE
051551494MedicaidAL

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080804000518 AL Practitioner - Optometry 2860495348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Eye Care, PCGroup PAC ID 7113944901, 4 clinicians

Practice addresses (Care Compare)

118 Lottie LN
Fairhope, AL 36532-2995
Phone (251) 928-4076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060156ALMDOptometrist
S558TA031ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Nov 10, 2020 Accepting new patients
Eyecare Associates, Inc. CurrentSince Nov 10, 2020 Accepting new patients
Eastern Shore Eye Care, PC Optometrist CurrentSince Dec 4, 2023 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients

Locations

118 Lottie Ln
Fairhope, AL 36532
Phone (251) 928-4076

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

606 S George Wallace Dr
Troy, AL 36081
Phone (334) 566-2020

Interoperability endpoints

  • Direct secure messaging: allendunn@direct.eyecare-partners.com

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1295716116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S GEORGE WALLACE DRIVE",
            "address_2": "PO DRAWER 728",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36081",
            "telephone_number": "334-566-2020",
            "fax_number": "334-566-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S GEORGE WALLACE DRIVE",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36081",
            "telephone_number": "334-566-2020",
            "fax_number": "334-566-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "THOMAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "060156",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S558TA031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051507550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2210102",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551494",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.