Thomas Matthew Bobst, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3651/T364 Issued in OH

Practice address

23609 Lorain Rd
North Olmsted, OH 44070-2222

Phone

(440) 734-9920

Fax

(440) 734-2870

NPI assigned

Jun 27, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Vision Source Inc

  • Corneal and Contact Management Optometrist
  • North Olmsted, OH
  • NPI 1740494277
  Medicare reassignment NPD Authorized official
• Ernest B. Brazina, O. D. Inc.

  • Optometrist
  • North Olmsted, OH
  • NPI 1174672489
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1346277126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23609 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702222",
            "telephone_number": "440-734-9920",
            "fax_number": "440-734-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23609 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702222",
            "telephone_number": "440-734-9920",
            "fax_number": "440-734-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBST",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3651/T364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507062",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0883480001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Bizga, D.D.S.
• Tracey Powell Blake, RCP
• John Robert Blakemore, D.D.S.
• William Stephen Blood, D.D.S. MD.
• Blue Ocean Medical Transportation
• Miranda Boedeker
• Gregory X Boehm, MD
• Amanda Marie Bolgar, OTR/L
• Bracemed Inc.
• Drew Porter Bradford

• Corneal and Contact Management Optometrist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Corneal and Contact Management Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.