Organization Active NPI

Thomas M. Erichson, O.D., P.L.L.C.

  • Eyewear Supplier
  • Poughkeepsie, NY
National Provider Identifier
1336318054
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV004036 Issued in NY
Legal business name
THOMAS M. ERICHSON, O.D., P.L.L.C.
Practice address
1 Bushwick Rd Ste B
Lagrange Professional Building
Poughkeepsie, NY 12603-3839
Phone
(845) 471-1147
Fax
(845) 473-1849
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Thomas M. Erichson, O.D.NPI 1356337471
Title
Owner
Phone
(845) 471-1147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TUV004036 NY Primary

Addresses

Primary practice location

1 Bushwick Rd Ste B
Lagrange Professional Building
Poughkeepsie, NY 12603-3839

Mailing address

1 Bushwick Rd Ste B
Lagrange Professional Building
Poughkeepsie, NY 12603-3839
Phone (845) 471-1147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1336318054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE B",
            "address_2": "LAGRANGE PROFESSIONAL BUILDING",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-471-1147",
            "fax_number": "845-473-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE B",
            "address_2": "LAGRANGE PROFESSIONAL BUILDING",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-471-1147",
            "fax_number": "845-473-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. ERICHSON, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "ERICHSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-471-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV004036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.