Organization Active NPI

Thomas J Chambers OD Inc

  • Optometrist
  • Tiffin, OH
National Provider Identifier
1306087184
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3764 Issued in OH
Legal business name
THOMAS J CHAMBERS OD INC
Practice address
2845 S State Route 100
Tiffin, OH 44883-8974
Phone
(419) 447-2143
Fax
(419) 447-1595
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Thomas J Chambers, O.D.NPI 1306991997
Title
Owner
Phone
(419) 447-2143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3764 OH Primary

Addresses

Primary practice location

2845 S State Route 100
Tiffin, OH 44883-8974

Mailing address

2845 S State Route 100
Tiffin, OH 44883-8974
Phone (419) 447-2143

Other identifiers 1

IdentifierTypeStateIssuer
2312947MedicaidOH

National Provider Directory

National Provider Directory

Locations

109 S Vance St
Carey, OH 43316
Phone (419) 396-6812

2845 S State Route 100
Tiffin, OH 44883
Phone (419) 396-6812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1306087184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 S STATE ROUTE 100",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838974",
            "telephone_number": "419-447-2143",
            "fax_number": "419-447-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 S STATE ROUTE 100",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838974",
            "telephone_number": "419-447-2143",
            "fax_number": "419-447-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CHAMBERS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-447-2143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2312947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.