Individual provider Active NPI

Sony Thomas, O.D.

  • Optometrist
  • Oswego, IL
National Provider Identifier
1376958322
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010800 Issued in IL
Practice address
83 Templeton Dr Ste F
Oswego, IL 60543-7025
Phone
(630) 554-8002
Fax
(630) 554-8095
NPI assigned
Jun 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010800 IL Primary

Addresses

Primary practice location

83 Templeton Dr Ste F
Oswego, IL 60543-7025

Mailing address

83 Templeton Dr Ste F
Oswego, IL 60543-7025
Phone (630) 554-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160921002242 IL Practitioner - Optometry 1355638123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego Vision LTDGroup PAC ID 5496773103, 3 clinicians

Practice addresses (Care Compare)

83 Templeton Dr
Suite F
Oswego, IL 60543-7025
Phone (630) 554-8002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010800ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Oct 28, 2016 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 28, 2016 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Oswego Vision, LTD Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Richard F Butz PastSince Sep 1, 2019 Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

83 Templeton Dr
Ste F
Oswego, IL 60543
Phone (630) 554-8002

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1376958322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 TEMPLETON DR STE F",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437025",
            "telephone_number": "630-554-8002",
            "fax_number": "630-554-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 TEMPLETON DR STE F",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437025",
            "telephone_number": "630-554-8002",
            "fax_number": "630-554-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.