Thomas Joseph Chambers, O.D.
Individual provider Active NPI Optometrist · Tiffin, OH
NPI 1306991997 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1306991997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3764 (OH)
- Practice address
- 2845 S State Route 100
Tiffin, OH 44883-8974 - Phone
- (419) 447-2143
- Fax
- (419) 447-1595
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Findlay Optometry Clinic Inc
Practice addresses (Care Compare)
123 W Sandusky St
Findlay, OH 45840-3215
Phone (419) 422-3472
478 W Market St
Tiffin, OH 44883-2610
Phone (419) 447-5616
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000006 | OH | Practitioner - Optometry | 2466345095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3764 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Findlay Optometry Clinic Inc | Optometrist | Current |
Accepting new patients |
| Paulus Eyecare Associates Inc | Optometrist | Past |
Accepting new patients |
Locations
109 S Vance St
Carey, OH 43316
Phone (419) 396-6812
123 W Sandusky St
Findlay, OH 45840
Phone (419) 422-3472
314 W Lytle St
Fostoria, OH 44830
Phone (419) 435-3323
478 W Market St
Tiffin, OH 44883
Phone (419) 447-5616
2845 S State Route 100
Tiffin, OH 44883
Phone (419) 396-6812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3764 | OH | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000133486 | Other | OH | ANTHEM-HORIZON BLUE CROSS |
| 2312947 | Medicaid | OH |
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.