Individual provider Active NPI

Tom Sheriff, O.D.

  • Optometrist
  • Wichita Falls, TX
National Provider Identifier
1467548313
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3216TG Issued in TX
Practice address
4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308-2845
Phone
(940) 696-2653
Fax
(940) 696-2685
NPI assigned
Oct 5, 2006
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3216TG TX Primary

Addresses

Primary practice location

4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308-2845

Mailing address

4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308-2845
Phone (940) 696-2653

Other names 1

  • Dr. Tom Sheiff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040305000903 TX Practitioner - Optometry 3779471388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Eyecare, P.a.Group PAC ID 4688737695, 3 clinicians

Practice addresses (Care Compare)

4206 Kemp Blvd
Wichita Falls, TX 76308-2846
Phone (940) 696-2653

4206 Kemp Blvd B
Wichita Falls, TX 76308-2846

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3216TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Eyecare, P.a. Optometrist CurrentSince May 15, 2009 Accepting new patients
Tom F. Sheriff, P.a. Optometrist Past Accepting new patients

Locations

4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308
Phone (940) 696-2653

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1467548313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD",
            "address_2": "STE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082845",
            "telephone_number": "940-696-2653",
            "fax_number": "940-696-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD",
            "address_2": "STE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082845",
            "telephone_number": "940-696-2653",
            "fax_number": "940-696-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFF",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3216TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "SHEIFF",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.