Thomas R Connon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3725/T785 Issued in OH

Practice address

5250 Far Hills Ave
Suite 207
Dayton, OH 45429-2382

Phone

(937) 433-2300

Fax

(937) 433-0210

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_alliedeyeps

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.

• Allied Eye Physicians & Surgeons Inc

  • Optometrist
  • Dayton, OH
  • NPI 1326173964
  Medicare reassignment NPD
• Cei Physicians PSC LLC

  • Ophthalmology Physician
  • Edgewood, KY
  • NPI 1033108592
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1386642205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-433-2300",
            "fax_number": "937-433-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-433-2300",
            "fax_number": "937-433-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNON",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3725/T785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2201247",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3587A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "41104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION",
            "identifier": "AE19781",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0688304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000189353",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311026469026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J Connelly, MD
• Amiya Conner
• Gary J Conner, MD
• Jason Conner
• Karin Sue Connolly, ADULT NURSE PRACTITI
• Jerard Michael Connors, MD
• Marcia Connors
• Timothy M. Connors, D.C.
• Paul NMN Conover, M.D.
• Peter Conover, PA-C

• Optometrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.