Individual provider Active NPI

Jeff D Thomas, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1336131960
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5458TG Issued in TX
Practice address
7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone
(972) 712-1010
Fax
(972) 712-1011
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 5458TG TX Primary

Addresses

Primary practice location

7638 Stonebrook Pkwy
Frisco, TX 75034-1003

Mailing address

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other identifiers 4

IdentifierTypeStateIssuer
20117682OtherTXDPS REGISTRATION
123450001OtherTXGROUP DMERC
05458TGOtherTNTX OPTOMETRY BOARD
1902852346OtherGROUP NPI

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
I20090311000205 TX Practitioner - Optometry 2466429055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Melissa Eye AssociatesGroup PAC ID 4385927854, 4 clinicians
Frisco Eye AssociatesGroup PAC ID 5193792786, 12 clinicians

Practice addresses (Care Compare)

1280 Sam Rayburn Hwy
Suite 600
Melissa, TX 75454-2246
Phone (972) 837-2222

3140 Legacy Dr
Suite 500
Frisco, TX 75034-8340
Phone (214) 619-5508

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5458TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Eye Associates Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Frisco Eye Associates Optometrist CurrentSince Aug 12, 1997 Accepting new patients
My Catholic Doctor, P.L.L.C. Past Accepting new patients

Locations

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

3140 Legacy Dr
Ste 500
Frisco, TX 75034
Phone (214) 619-5508

5246 US Highway 377 S
Ste 1
Krugerville, TX 76227
Phone (940) 365-0440

1280 Sam Rayburn Hwy
Ste 600
Melissa, TX 75454
Phone (972) 837-2222

Organizations & group practices 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336131960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFF",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5458TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION",
            "identifier": "20117682",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP DMERC",
            "identifier": "123450001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX OPTOMETRY BOARD",
            "identifier": "05458TG",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902852346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.