Individual provider Active NPI

Steven D Thomas, O.D.

  • Optometrist
  • Pflugerville, TX
National Provider Identifier
1487621041
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4350TG Issued in TX
Practice address
16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone
(512) 251-4099
Fax
(512) 251-2941
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pflugerville Vision Care PA 3 clinicians

Practice addresses (Care Compare)

16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone (512) 251-4099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100916000258 TX Practitioner - Optometry 7517852338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4350TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Branch Vision Care PA Optometrist Current Accepting new patients
Pflugerville Vision Care PA Optometrist CurrentSince Jul 12, 1990 Accepting new patients

Locations

16303 Yellow Sage St
Pflugerville, TX 78660
Phone (512) 251-4040

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4350TG TX Primary

Addresses

NPPES NPI Registry

Primary practice location

16303 Yellow Sage St
Pflugerville, TX 78660-3529

Mailing address

16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone (512) 251-4099

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0402869-01MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2011.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1487621041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 YELLOW SAGE ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603529",
            "telephone_number": "512-251-4099",
            "fax_number": "512-251-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 YELLOW SAGE ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603529",
            "telephone_number": "512-251-4099",
            "fax_number": "512-251-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4350TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402869-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.