Individual provider Active NPI

Thad Anthony Labbe, MD

  • Ophthalmology Physician
  • Taylor, TX
National Provider Identifier
1346284866
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M6716 Issued in TX
Practice address
603 Mallard LN
Taylor, TX 76574-1214
Phone
(512) 352-7664
Fax
(512) 365-5237
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2006008752 MO
Ophthalmology Physician 207W00000X M6716 TX Primary

Addresses

Primary practice location

603 Mallard LN
Taylor, TX 76574-1214

Mailing address

603 Mallard LN
Taylor, TX 76574-1214
Phone (512) 352-7664

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000434 TX Practitioner - Ophthalmology 5496752529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jon F Dietlein, M.D., P.a.Group PAC ID 4486676491, 3 clinicians

Practice addresses (Care Compare)

311 River Bend Dr
Georgetown, TX 78628-2782
Phone (512) 931-2255

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jon F Dietlein MD PA Ophthalmology CurrentSince Nov 27, 2012 Accepting new patients
Jon F Dietlein, M.D., P.a. CurrentSince Nov 27, 2012 Accepting new patients
Thomas L Hendrix, MD, Patricia B Dearman, MD, W Thomas Kittleman, MD,P Ophthalmology Past Accepting new patients

Locations

311 River Bend Dr
Georgetown, TX 78628
Phone (512) 931-2255

Interoperability endpoints

  • Direct secure messaging: thadl@dietleineyecenter.ecldirect.net

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1346284866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABBE",
        "first_name": "THAD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2006008752",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M6716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.