NPIMap

Individual provider Active NPI

Thorman E Sholey, O.D.

  • Optometrist
  • Worland, WY
National Provider Identifier
1376781872
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
121T Issued in WY
Practice address
610 S 12TH St
Worland, WY 82401-4007
Phone
(307) 347-4151
Fax
(307) 347-3214
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 121T WY Primary

Addresses

Primary practice location

610 S 12TH St
Worland, WY 82401-4007

Mailing address

610 S 12TH St
Worland, WY 82401-4007
Phone (307) 347-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis Optometric Clinic Optometrist Past Accepting new patients
Grand Teton Eye & Optical Optometrist PastSince Oct 1, 2007 Accepting new patients
Clear Image Vision Care, P.C. Optometrist PastSince Mar 9, 2008 Accepting new patients
Wyoming Eye Care Inc PC Optometrist Past Accepting new patients

Organizations & group practices 4

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1376781872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S 12TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014007",
            "telephone_number": "307-347-4151",
            "fax_number": "307-347-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 12TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014007",
            "telephone_number": "307-347-4151",
            "fax_number": "307-347-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLEY",
        "first_name": "THORMAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "121T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.