Individual provider Active NPI

Thomas M Kines, OD

  • Optometrist
  • Sylacauga, AL
National Provider Identifier
1336221647
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S342TA049 Issued in AL
Practice address
493 W 3Rd Street
Sylacauga, AL 35150
Phone
(256) 245-7696
Fax
(256) 245-6693
NPI assigned
Oct 19, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S342TA049 AL Primary

Addresses

Primary practice location

493 W 3Rd Street
Sylacauga, AL 35150

Mailing address

493 W 3Rd Street
Sylacauga, AL 35150
Phone (256) 245-7696

Other identifiers 3

IdentifierTypeStateIssuer
000059384MedicaidAL
3079375OtherTNBLUE CROSS
51059384OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S342TA049ALMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1336221647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 W 3RD STREET",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-245-7696",
            "fax_number": "256-245-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 W 3RD STREET",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-245-7696",
            "fax_number": "256-245-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINES",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S342TA049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059384",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3079375",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51059384",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.