Robert Thomas, B.C.O.

Primary specialty

OcularistTaxonomy code 156FX1700X

Practice address

1900 Kirby Pkwy Ste 102
Germantown, TN 38138-3653

Phone

(901) 753-4724

Fax

(901) 759-5920

NPI assigned

Jan 18, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 Ocular Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Memphis, TN
  • NPI 1467620872

  Ocularist

  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1376696054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 KIRBY PKWY STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383653",
            "telephone_number": "901-753-4724",
            "fax_number": "901-759-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 KIRBY PKWY STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383653",
            "telephone_number": "901-753-4724",
            "fax_number": "901-759-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3554760",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0165655",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The West Clinic, PLLC
• The Wootton Clinic and Medical Center, P.C.
• Kristen Thelen, PA-C
• Koteswararao Thella, MD
• Donna Dougan Thomas, PT
• Sharnika Thomas
• Lauren Thompson Williams
• Amy Louise Thompson, CCCSLP
• Bryan F Thompson, M.D.
• Kirk Michael Thompson, MD

• Technician/Technologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Technician/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.