Individual provider Active NPI

Thomas A Politzer, O.D.

  • Optometrist
  • Fruita, CO
National Provider Identifier
1467415802
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1105 Issued in CO
Practice address
332 E Aspen Ave Ste 100
Fruita, CO 81521-2204
Phone
(970) 858-2020
Fax
(970) 858-6601
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1105 CO Primary

Addresses

Primary practice location

332 E Aspen Ave Ste 100
Fruita, CO 81521-2204

Mailing address

332 E Aspen Ave Ste 100
Fruita, CO 81521-2204
Phone (970) 858-2020

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050922001148 CO Practitioner - Optometry 4789618398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visualeyes Eye Care PCGroup PAC ID 8729079157, 3 clinicians

Practice addresses (Care Compare)

332 E Aspen Ave
Suite 100
Fruita, CO 81521-2204
Phone (970) 858-2020

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Family Health West Hospital Hospital, Fruita, CO, CCN 061302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Eyecare, P.C. Optometrist CurrentSince Oct 7, 2023 Accepting new patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Mar 25, 2024 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Current Accepting new patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Mar 25, 2024 Accepting new patients

Locations

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1467415802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E ASPEN AVE STE 100",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212204",
            "telephone_number": "970-858-2020",
            "fax_number": "970-858-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E ASPEN AVE STE 100",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212204",
            "telephone_number": "970-858-2020",
            "fax_number": "970-858-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITZER",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.