Organization Active NPI

Thomas Ocular Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Memphis, TN
National Provider Identifier
1467620872
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mr. Robert Thomas, BCONPI 1376696054
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3554760MedicaidTN
0165655OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051733 TN DME Supplier - OcularistDME Supplier - Prosthetic Personnel 3375661739 Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Thomas Ocular Prosthetics Inc1900 Kirby Pkwy, Memphis, TN 38138-3653(901) 753-4724 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.