Thomas Harrison Sprouse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

61168507 Issued in WA

Practice address

338 Hawthorne Ave NE
Salem, OR 97301-4607

Phone

(503) 585-6700

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Focus Eye Care LLCGroup PAC ID 1557524279, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Focus Eye Care LLC

  • Eyewear Supplier
  • Salem, OR
  • NPI 1184999377
  Medicare reassignment Care Compare group NPD
• Eyecare Vision and Optical

  • Optometrist
  • Kennewick, WA
  • NPI 1346412582
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1326617366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HAWTHORNE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HAWTHORNE AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014607",
            "telephone_number": "503-585-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "THOMAS",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61168507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Spring
• Danielle Rae Springer
• Nicole Springer, LMT
• Keila J. Sproed, CADC-R
• Laura Sprouse
• Shashi K Srinivasan, MD
• Tyler St. Clair, LCSW
• Emma Stacey, ND
• Stacia Danna Counseling LPC LLC
• Sean Stack, M.D.

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.