Active NPI
Thomas A Cable, OD
- Optometrist
- Maumee, OH
National Provider Identifier
1477592715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3016
- Practice address
- 1657 Holland Rd
Suite D
Maumee, OH 43537-1661 - Phone
- (419) 891-1023
- Fax
- (419) 891-1138
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3016 | OH | Primary |
| Optometrist | 152W00000X | 02393 | MI |
Addresses
Primary practice location
1657 Holland Rd
Suite D
Maumee, OH 43537-1661
Mailing address
1657 Holland Rd
Suite D
Maumee, OH 43537-1661
Phone (419) 891-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111227000633 | OH | Practitioner - Optometry | 6002712221 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02393 | MI | MD | Optometrist |
| 3016 | OH | MD | Optometrist |
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": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1477592715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 HOLLAND RD",
"address_2": "SUITE D",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371661",
"telephone_number": "419-891-1023",
"fax_number": "419-891-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 HOLLAND RD",
"address_2": "SUITE D",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371661",
"telephone_number": "419-891-1023",
"fax_number": "419-891-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABLE",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3016",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "02393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.