Individual provider Active NPI

Brian Steven Thamel, O.D.

  • Vision Therapy Optometrist
  • Worcester, MA
National Provider Identifier
1508927054
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
3463 Issued in MA
Practice address
335 Park Ave
Worcester, MA 01610-1000
Phone
(508) 753-5103
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3463 MA
Pediatric Optometrist 152WP0200X 3463 MA
Vision Therapy Optometrist 152WV0400X 3463 MA Primary

Addresses

Primary practice location

335 Park Ave
Worcester, MA 01610-1000

Mailing address

335 Park Ave
Worcester, MA 01610-1000
Phone (508) 753-5103

Other identifiers 1

IdentifierTypeStateIssuer
0393606MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111202000524 MA Practitioner - Optometry 6204903503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care IncGroup PAC ID 3779654876, 5 clinicians

Practice addresses (Care Compare)

177 Main St
Spencer, MA 01562-1711
Phone (508) 885-2219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3463MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care, Inc. Optometrist Current Accepting new patients
Family Eye Care, Inc. Optometrist CurrentSince Sep 21, 1989 Accepting new patients

Locations

177 Main St
Spencer, MA 01562
Phone (508) 885-2219

335 Park Ave
Ste 5
Worcester, MA 01610

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508927054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101000",
            "telephone_number": "508-753-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101000",
            "telephone_number": "508-753-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMEL",
        "first_name": "BRIAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3463",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "3463",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "3463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393606",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.