Active NPI
Thomas Ocular Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- THOMAS OCULAR PROSTHETICS, INC
- Practice address
- 1900 Kirby Pkwy
Ste. 102
Memphis, TN 38138-3653 - Phone
- (901) 753-4724
- Fax
- (901) 759-5920
- NPI assigned
- Feb 19, 2008
- 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
- Mr. Robert Thomas, BCO
- Title
- President/ Owner
- Phone
- (901) 753-4724
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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1900 Kirby Pkwy
Ste. 102
Memphis, TN 38138-3653
Mailing address
1900 Kirby Pkwy
Ste. 102
Memphis, TN 38138-3653
Phone (901) 753-4724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3554760 | Medicaid | TN | |
| 0165655 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930051733 | TN | DME Supplier - Ocularist | 3375661739 | Practice locations: Memphis, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thomas Ocular Prosthetics Inc | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1900 Kirby Pkwy
Ste 102
Memphis, TN 38138
Phone (901) 753-4724
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Germantown, TN
- NPI 1376696054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1467620872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 KIRBY PKWY",
"address_2": "STE. 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381383653",
"telephone_number": "901-753-4724",
"fax_number": "901-759-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 KIRBY PKWY",
"address_2": "STE. 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381383653",
"telephone_number": "901-753-4724",
"fax_number": "901-759-5920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS OCULAR PROSTHETICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "901-753-4724",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BCO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3554760",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0165655",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.