Individual provider Active NPI

Stephen Joseph Thomas, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1477676542
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3188 Issued in FL
Practice address
325 N Alafaya TRL
Orlando, FL 32828-7012
Phone
(407) 737-0269
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3188 FL Primary

Addresses

Primary practice location

325 N Alafaya TRL
Orlando, FL 32828-7012

Mailing address

818 Sterling Spring Rd
Orlando, FL 32828-6663

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040730000335 FL Practitioner - Optometry 8820068349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3188FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Feb 12, 2020 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Feb 12, 2020 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Robert S. Webster Optometrist Past Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Sight and Sun Eyeworks LLC Optometrist Past Accepting new patients

Locations

2376 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 847-0057

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

5101 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 479-7379

13141 N Dale Mabry Hwy
Ste De
Tampa, FL 33618
Phone (813) 264-2769

5687 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 926-0940

Interoperability endpoints

  • Direct secure messaging: stephenthomas@direct.eyecare-partners.com

Organizations & group practices 6

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477676542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 STERLING SPRING RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287012",
            "telephone_number": "407-737-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.