Thomas R Doud OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003117 Issued in MI

Legal business name

THOMAS R DOUD OD PC

Doing business as

Hartland Eye Care

Practice address

11200 Highland Road
Suite 501
Hartland, MI 48353

Phone

(810) 632-5240

Fax

(810) 632-2048

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Ralph Doud, ODNPI 1649316175

Title

Doctor/Owner

Phone

(810) 632-5240

Specialties & licenses 1

Addresses

Other names 1

• Hartland Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Ralph Doud, OD

  • Optometrist
  • Hartland, MI
  • NPI 1649316175
  Medicare reassignment Care Compare group Authorized official
• Michael Ruthven, DO

  • Optometrist
  • Hartland, MI
  • NPI 1174971998
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1326208489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND ROAD",
            "address_2": "SUITE 501",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-5240",
            "fax_number": "810-632-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND ROAD",
            "address_2": "SUITE 501",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-5240",
            "fax_number": "810-632-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R DOUD OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "810-632-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartland Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren B Strzelecki, PHARMACY INTERN
• Rachel Sutton, LLMSW
• Zachary Sweet, MS CCC-SLP
• Rebecca J Taylor
• Sheehan Thelen
• Talia L Thomas, LLMSW
• Jasmine Marie Thompson
• Melissa Toll
• Kaylee Torok
• Alicia Trail, RPH

• Optometrist in Hartland, MI
• Providers in Hartland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.