Thomas John Doyle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002644 Issued in MI

Practice address

13151 Schavey Rd
Dewitt, MI 48820-9016

Phone

(517) 669-2945

Fax

(517) 669-9707

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Eye and Vision Care, LLC

  • Optometrist
  • Howell, MI
  • NPI 1902194970
  Medicare reassignment
• Thomas J. Doyle OD, PC

  • Optometrist
  • Dewitt, MI
  • NPI 1093831216
  Authorized official Same address or phone

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336214253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "address_2": "PO BOX 335",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "517-669-2945",
            "fax_number": "517-669-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 SCHAVEY RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209016",
            "telephone_number": "517-669-2945",
            "fax_number": "517-669-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swetha Dharmavaram Kottam, RPH
• Divine Home Care and Staffing Solutions
• Divine Therapy Services Inc
• Mitchell Robert Dobrzelewski, OD
• Downtown Dewitt Chiropractic, P.C.
• Julia Drake, PT, DPT
• Jackie Drushel-Vanamburg, RDH
• Larson Pax Drzewicki, MA, CCC-SLP
• Edward W. Sparrow Hospital Association (Sparrow Medical Group DeWitt)
• David Joseph Fedewa, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.