Tom Fickes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4030T Issued in OR

Practice address

135 NE Terry LN
Grants Pass, OR 97526-4801

Phone

(541) 471-2070

Fax

(541) 582-2600

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyeglass Center

  • Optometrist
  • Grants Pass, OR
  • NPI 1689742132
  NPD (past) Authorized official
• Fickes LLC

  • Optometrist
  • Grants Pass, OR
  • NPI 1821335977
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427126986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 FOREST HILLS DR",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379664",
            "telephone_number": "541-471-2070",
            "fax_number": "541-582-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NE TERRY LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264801",
            "telephone_number": "541-471-2070",
            "fax_number": "541-582-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKES",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4030T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Kent Ferrell, QMHA
• Roxanne Few, LMT
• Gabrielle Marie Fey, FNP
• Fickes LLC
• Eva Fickes, O.D.
• Rhett Fieldsted
• Finding Center, LLC
• Ellen Joan Fineberg, PH.D.
• Sylvia Finley
• Evan M Fisch, MD

• Optometrist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.