Individual provider Active NPI

Tamatha Ann Tomeff, O.D.

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1326276106
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7425T Issued in TX
Practice address
4859 Williams Dr Ste 103
Georgetown, TX 78633-2304
Phone
(512) 808-0872
Fax
(512) 808-0669
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7425T TX Primary

Addresses

Primary practice location

4859 Williams Dr Ste 103
Georgetown, TX 78633-2304

Mailing address

4859 Williams Dr Ste 103
Georgetown, TX 78633-2304
Phone (512) 808-0872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120719000272 TX Practitioner - Optometry 0042476061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4859 Williams Dr
Suite 103
Georgetown, TX 78633-2304
Phone (512) 808-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7425TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Vision Associates Optometrist CurrentSince Jul 3, 2021 Accepting new patients

Locations

4859 Williams Dr
Ste 105
Georgetown, TX 78633

4859 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (512) 808-0872

Organizations & group practices 1

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1326276106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 WILLIAMS DR STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332304",
            "telephone_number": "512-808-0872",
            "fax_number": "512-808-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 WILLIAMS DR STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332304",
            "telephone_number": "512-808-0872",
            "fax_number": "512-808-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMEFF",
        "first_name": "TAMATHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7425T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.