Nicholas Thomas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4280 Issued in FL

Practice address

253 Pine Ave N BLDG B
Oldsmar, FL 34677-4630

Phone

(813) 915-0755

Fax

(813) 915-0704

NPI assigned

Sep 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Indiana University - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walesby Vision Center P aGroup PAC ID 3971718263, 2 clinicians

Practice addresses (Care Compare)

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.

• Walesby Vision Center P a

  • Vision Therapy Optometrist
  • Oldsmar, FL
  • NPI 1265719066
  Medicare reassignment Care Compare group NPD Authorized official
• Walesby Vision Center P a

  • Vision Therapy Optometrist
  • Lutz, FL
  • NPI 1528423779
  NPD Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1356743272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 PINE AVE N BLDG B",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774630",
            "telephone_number": "813-915-0755",
            "fax_number": "813-915-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 PINE AVE N BLDG B",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774630",
            "telephone_number": "813-915-0755",
            "fax_number": "813-915-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24444 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335597303",
            "country_code": "US",
            "telephone_number": "813-345-8544",
            "fax_number": "813-406-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC4280",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALESBY VISION CENTER NORTH",
            "identifier": "1528423779",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Tatem, OTA
• Tellmel Mental Health
• Therapymatters Inc
• Annie Thomas, MD
• Carol Ann Thomas, APRN
• Stephanie Frances Kane Thomas
• Cecelia Tilson
• Tjsupper Enterprises, Inc. Dba the Optical Shoppe
• TLC Adult Day Care and Recreation Center Inc.
• Top Notch Physical Therapy and Personal Training LLC

• Optometrist in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.