Organization Active NPI

Thomas Eyecare PA

  • Optometrist
  • Keller, TX
National Provider Identifier
1497949366
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05986T Issued in TX
Legal business name
THOMAS EYECARE PA
Practice address
601 S Main St
Suite 250
Keller, TX 76248-7029
Phone
(817) 379-6200
Fax
(817) 379-6224
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Mrs. Pamela Sue Thomas, ODNPI 1851334940
Title
Owner
Phone
(817) 379-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 05986T TX Primary

Addresses

Primary practice location

601 S Main St
Suite 250
Keller, TX 76248-7029

Mailing address

601 S Main St
Suite 250
Keller, TX 76248-7029
Phone (817) 379-6200

Other names 1

  • KELLER EYE CARE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000887 TX Part B Supplier - Clinic/Group Practice 9335226851 Receives reassigned benefits from 4 practitioners
Practice locations: Keller, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2160352Keller Eye Care601 S Main St Suite 250, Keller, TX 76248Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

601 S Main St
Ste 250
Keller, TX 76248
Phone (817) 379-6200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1497949366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 250",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487029",
            "telephone_number": "817-379-6200",
            "fax_number": "817-379-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "address_2": "SUITE 250",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487029",
            "telephone_number": "817-379-6200",
            "fax_number": "817-379-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-379-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05986T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KELLER EYE CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.