Thomas J Wight, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6342 Issued in FL

Practice address

1312 Manatee Ave E
Bradenton, FL 34208-1358

Phone

(941) 708-8700

Fax

(941) 708-8706

NPI assigned

May 12, 2023

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Optometrist

  Medicare reassignment Care Compare group NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• MCR Health, Inc.

  dba Manor Healthcare Center

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1730115882
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1366132284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 VIA DEL SOL",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339031574",
            "telephone_number": "585-545-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081358",
            "telephone_number": "941-708-8700",
            "fax_number": "941-708-8706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103196",
            "country_code": "US",
            "telephone_number": "941-909-7007",
            "fax_number": "941-567-4295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5520 FL-64 #101",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34208",
            "country_code": "US",
            "telephone_number": "941-721-0649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 N Brevard Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342664404",
            "country_code": "US",
            "telephone_number": "863-491-7585",
            "fax_number": "863-491-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C. Whorf, M.D.
• WHP Management, LLC
• Tyler Daniel Wickas, MD
• Susan McNeil Widziunas, RPH.
• Carolina Fernandez Wiebalk, PSY.D.
• Richard William Wilcox, DDS
• Rochelle Alice Wild
• Jessica Lyn Wilde, LCSW
• Julie Wilhite, APRN, FNP-C
• Jawanna Smith Wilkins, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.