Individual provider Active NPI

Thomas Joseph Fleischmann, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1477525608
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP6214T Issued in CA
Practice address
3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5304
Phone
(916) 971-3937
Fax
(916) 971-0872
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP6214T CA Primary
Optometrist 152W00000X MF0730970 CA

Addresses

Primary practice location

3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5304

Mailing address

3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5338
Phone (916) 971-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0062140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OP6214TCAMDOptometrist
6214CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Fleischmann Optometrist PastSince May 6, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1477525608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 MARCONI AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215338",
            "telephone_number": "916-971-3937",
            "fax_number": "916-971-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 MARCONI AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215304",
            "telephone_number": "916-971-3937",
            "fax_number": "916-971-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMANN",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP6214T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "MF0730970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.