Active NPI
Thomas a. Flynn, 0.D., a Professional Corp.
- Optometrist
- Orland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6658
- Legal business name
- THOMAS A. FLYNN, 0.D., A PROFESSIONAL CORP.
- Practice address
- 203 Walker St
Suite 1
Orland, CA 95963-1450 - Phone
- (530) 865-9233
- Fax
- (530) 865-2398
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas A Flynn, O.D.
- Title
- President
- Phone
- (530) 865-9233
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6658 | CA | Primary |
Addresses
Primary practice location
203 Walker St
Suite 1
Orland, CA 95963-1450
Mailing address
203 Walker St
Suite 1
Orland, CA 95963-1450
Phone (530) 865-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0066581 | Medicaid | CA |
Other names 1
- Orland Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077117 | CA | DME Supplier - Physician - Optometrist | 8325052079 | Practice locations: Orland, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
203 Walker St
Ste 1
Orland, CA 95963
Phone (530) 527-9242
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Orland, CA
- NPI 1205867660
-
- Optometrist
- Red Bluff, CA
- NPI 1548273196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1396964201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 WALKER ST",
"address_2": "SUITE 1",
"city": "ORLAND",
"state": "CA",
"postal_code": "959631450",
"telephone_number": "530-865-9233",
"fax_number": "530-865-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 WALKER ST",
"address_2": "SUITE 1",
"city": "ORLAND",
"state": "CA",
"postal_code": "959631450",
"telephone_number": "530-865-9233",
"fax_number": "530-865-2398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS A. FLYNN, 0.D., A PROFESSIONAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-865-9233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "6658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0066581",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orland Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.