Active NPI
Sony Thomas, O.D.
- Optometrist
- Oswego, IL
National Provider Identifier
1376958322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
83 Templeton Dr
Suite F
Oswego, IL 60543-7025
Phone (630) 554-8002
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010800 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Oswego Vision, LTD | Optometrist | Current | Accepting new patients |
| Richard F Butz | Past | 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.
-
- Optometrist
- Oswego, IL
- NPI 1740203850
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1750429486
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Health Maintenance Organization
- Naperville, IL
- NPI 1376726000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.