Thomas Michael Erichson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004036 Issued in NY

Practice address

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

Phone

(845) 471-1147

Fax

(845) 473-1849

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thomas M. Erichson, O.D., P.L.L.C.

  • Eyewear Supplier
  • Poughkeepsie, NY
  • NPI 1336318054
  NPD (past) Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1356337471",
    "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": {
        "last_name": "ERICHSON",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROV #",
            "identifier": "2C9390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO PROV #",
            "identifier": "141816850",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2218214",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS PROV #",
            "identifier": "C37061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV #",
            "identifier": "P1954861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROV #",
            "identifier": "10034123 GRP6170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROV. #",
            "identifier": "597024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empire Vision Center Inc (Empire Vision Centers)
• Carla Eng, MD
• Enisman Freedman Sepulveda Plastic Surgeons PC
• Kristine Equina, NP
• Elizabeth Alexandria Eraca
• Lisa Marie Escaravage, MS,CCC-SLP
• Abelaly Esguerra
• Joselito Espinosa, PT
• Vanessa Espinosa, RPH
• Angelina Espiritu, M.D.

• Optometrist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.