Marguerite Ellen Ball-Thomas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0002336 Issued in FL

Practice address

1935 State Road 436
Winter Park, FL 32792-2244

Phone

(407) 671-0960

Fax

(407) 677-6696

NPI assigned

Dec 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Southern College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James a Podschun OD PAGroup PAC ID 4789870148, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marguerite@winterparkeyedoctor.eyeclinicdirect.net

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.

• James a Podschun OD PA

  • Optometrist
  • Winter Park, FL
  • NPI 1942518097
  Medicare reassignment Care Compare group NPD
• Kelley Eye, LLC

  • Optometrist
  • Winter Park, FL
  • NPI 1700519451
  NPD (past)

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

{
    "created_epoch": "1135987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1477531317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL-THOMAS",
        "first_name": "MARGUERITE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-31",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC0002336",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC0002336",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "201602",
            "identifier": "UNITED HEALTH CARE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0625244",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084796800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4401350",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO (DMERC)",
            "identifier": "0912730001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Renee Baldieri
• Valeria Cristina Baldivieso, M.D.
• William Adam Baldowski
• Katharine Lee Baldwin
• Sierra Baldwin, PTA
• Emmanuelle Ballenilla, APN
• Hannah Priya Ballester, PA-C
• Mary Ballou, ARNP
• Jessica Baloy
• Michele Theresa Band, M.A.

• Optometrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.