Individual provider Active NPI

Thomas E. Austin, OD

  • Optometrist
  • Wisconsin Rapids, WI
National Provider Identifier
1356084222
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
403235 Issued in WI
Practice address
3341 8TH St S
Wisconsin Rapids, WI 54494-6566
Phone
(715) 423-5353
Fax
(715) 423-6525
NPI assigned
Apr 18, 2022
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011712 IL
Optometrist 152W00000X 403235 WI Primary

Addresses

Primary practice location

3341 8TH St S
Wisconsin Rapids, WI 54494-6566

Mailing address

3341 8TH St S
Wisconsin Rapids, WI 54494-6566
Phone (715) 423-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221229001196 IL Practitioner - Optometry 7719357110 Reassigns benefits to 1 organization
I20250916001294 WI Practitioner - Optometry 7719357110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revision Eye Care LLCGroup PAC ID 0749549855, 3 clinicians

Practice addresses (Care Compare)

3341 8TH St S
Wisconsin Rapids, WI 54494-6566
Phone (715) 423-5353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
403235WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 8, 2022 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Revision Eye Care, LLC Optometrist CurrentSince May 22, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 8, 2022 Accepting new patients
Illinois College of Optometry Optometrist PastSince Apr 1, 2022 Accepting new patients
University of Chicago PastSince Apr 1, 2022 Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

104 S Washington St
Hinsdale, IL 60521
Phone (630) 323-1100

3224 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 895-4422

10550 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 499-3911

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

3341 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 423-3535

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1356084222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946566",
            "telephone_number": "715-423-5353",
            "fax_number": "715-423-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946566",
            "telephone_number": "715-423-5353",
            "fax_number": "715-423-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "THOMAS",
        "middle_name": "E.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "403235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.