Organization Active NPI

Thomas Turtle Opticians Inc.

  • Optometrist
  • North Tonawanda, NY
National Provider Identifier
1396878765
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY5265 Issued in NY
Legal business name
THOMAS TURTLE OPTICIANS INC.
Practice address
444 Payne Ave
North Tonawanda, NY 14120-6902
Phone
(716) 693-1280
Fax
(716) 693-1383
NPI assigned
Mar 14, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. David T Turtle, O.D.NPI 1134124704
Title
President
Phone
(716) 693-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NY5265 NY Primary

Addresses

Primary practice location

444 Payne Ave
North Tonawanda, NY 14120-6902

Mailing address

444 Payne Ave
P.O. Box 830
North Tonawanda, NY 14120-6902
Phone (716) 693-1280

Other identifiers 11

IdentifierTypeStateIssuer
000300010001OtherBCBS
0597890001OtherMEDICARE DME
000300010007OtherBCBS
0597890003OtherMEDICARE DME
0597890004OtherNYMEDICARE DME
NY5265OtherEYEMED
7309539OtherINDEPENDENT HEALTH
0597890002OtherMEDICARE DME
000300010005OtherBCBS
00025972201OtherUNIVERA
000300010003OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608001314 NY Part B Supplier - Clinic/Group Practice 7315920691 Receives reassigned benefits from 4 practitioners
Practice locations: North Tonawanda, NY

National Provider Directory

National Provider Directory

Locations

444 Payne Ave
North Tonawanda, NY 14120
Phone (716) 693-1280

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1396878765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PAYNE AVE",
            "address_2": "P.O. BOX 830",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206902",
            "telephone_number": "716-693-1280",
            "fax_number": "716-693-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206902",
            "telephone_number": "716-693-1280",
            "fax_number": "716-693-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS TURTLE OPTICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "TURTLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-693-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY5265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000300010001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0597890001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000300010007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0597890003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0597890004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY5265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "7309539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0597890002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000300010005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025972201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000300010003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.