Organization Active NPI

Thomas J Munns

  • Optometrist
  • Madison, WI
National Provider Identifier
1306837273
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1596 Issued in WI
Legal business name
THOMAS J MUNNS
Practice address
615 State St
Madison, WI 53703-1015
Phone
(608) 251-1515
Fax
(608) 251-5966
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Wanda K Frey
Title
Office Manager
Phone
(608) 251-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1596 WI Primary

Addresses

Primary practice location

615 State St
Madison, WI 53703-1015

Mailing address

615 State St
Madison, WI 53703-1015
Phone (608) 251-1515

Other names 1

  • Madison Optometric Center Other name

National Provider Directory

National Provider Directory

Locations

615 State St
Madison, WI 53703
Phone (608) 251-1515

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1306837273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 STATE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031015",
            "telephone_number": "608-251-1515",
            "fax_number": "608-251-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 STATE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031015",
            "telephone_number": "608-251-1515",
            "fax_number": "608-251-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J MUNNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-251-1515"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Optometric Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.