Active NPI
Thomas W Stone, O.D.
- Optometrist
- Flagstaff, AZ
National Provider Identifier
1477541597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2027
- Practice address
- 801 S Milton Rd
Flagstaff, AZ 86001-7313 - Phone
- (928) 213-1400
- Fax
- (928) 773-1463
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2027 | AZ | Primary |
Addresses
Primary practice location
801 S Milton Rd
Flagstaff, AZ 86001-7313
Mailing address
220 N McKemy Ave
Chandler, AZ 85226-2651
Phone (480) 835-4472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2586549 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2027 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Vision Clinic, Inc. | Optometrist | Past | Accepting new patients |
| MVC Acquisition of Sterling Heights PLC | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Sterling Heights, MI
- NPI 1861534927
-
- Optometrist
- Sterling Heights, MI
- NPI 1902247208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1477541597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MCKEMY AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262651",
"telephone_number": "480-835-4472",
"fax_number": "480-893-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S MILTON RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017313",
"telephone_number": "928-213-1400",
"fax_number": "928-773-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "THOMAS",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2586549",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.