NPIMap

Organization Active NPI

Thomas H Murphy OD Inc

Doing business as Eye Designs Optometry

  • Optometrist
  • Roseville, CA
National Provider Identifier
1457389207
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS H MURPHY OD INC
Doing business as
Eye Designs Optometry
Practice address
1151 Galleria Blvd, Suite 239
Roseville, CA 95678-1944
Phone
(916) 772-3937
Fax
(916) 772-4779
NPI assigned
Jun 29, 2006
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
John S Baskett, ODNPI 1689767626
Title
President
Phone
(916) 929-5909

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 CA Primary

Addresses

Primary practice location

1151 Galleria Blvd, Suite 239
Roseville, CA 95678-1944

Mailing address

1151 Galleria Blvd, Suite 239
Roseville, CA 95678-1944
Phone (916) 772-3937

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ64888ZOtherCABLUE SHIELDS
GDS004822MedicaidCA
314522230OtherCAVSP, SUPERIOR

Other names 1

  • Eye Designs Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000683 CA Part B Supplier - Clinic/Group Practice 3173678042 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Citrus Heights, CA; Roseville, CA; Sacramento, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1151 Galleria Blvd
Ste 239
Roseville, CA 95678
Phone (916) 772-3937

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1457389207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 GALLERIA BLVD, SUITE 239",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781944",
            "telephone_number": "916-772-3937",
            "fax_number": "916-772-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 GALLERIA BLVD, SUITE 239",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781944",
            "telephone_number": "916-772-3937",
            "fax_number": "916-772-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H MURPHY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BASKETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-929-5909",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELDS",
            "identifier": "ZZZ64888Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDS004822",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP, SUPERIOR",
            "identifier": "314522230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Designs Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.