Active NPI
Thomas Francis Determan
- Optometrist
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD 786
- Practice address
- 2750 S Pacific Ave
Suite D
Yuma, AZ 85365-3555 - Phone
- (928) 782-7557
- Fax
- (928) 783-8445
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OD 786 | AZ | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OD 786 | AZ |
Addresses
Primary practice location
2750 S Pacific Ave
Suite D
Yuma, AZ 85365-3555
Mailing address
2750 S Pacific Ave
Ste D
Yuma, AZ 85365-3547
Phone (928) 782-7557
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410030328 | Other | AZ | RAILROAD |
| AZ0249670 | Other | AZ | BCBS ARIZONA |
| 131533001 | Other | AZ | DMERC |
Other names 1
- Tom Determan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD 786 | AZ | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Vision Center, Inc | Optometrist | Current | Accepting new patients |
| Optometric Consulting Services, Inc | Optometrist | Current | Accepting new patients |
| Usv Optical Inc | Optometrist | Past | Accepting new patients |
Locations
5405 E Granite St
Bldg 2527
Tucson, AZ 85707
Phone (520) 514-2029
4144 N Oracle Rd
Ste 180
Tucson, AZ 85705
Phone (520) 467-4472
6351 E Broadway Blvd
Ste 115
Tucson, AZ 85710
Phone (520) 467-4457
1979 E 16th St
Ste 3
Yuma, AZ 85365
Phone (928) 615-9463
2750 S Pacific Ave
Ste D
Yuma, AZ 85365
Phone (928) 580-6356
275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011
Interoperability endpoints
- dr.determan@yumavision.eyefinity-direct.com
- info@yumavision.eyefinity-direct.com
Organizations & group practices 3
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.
-
- Optometrist
- Yuma, AZ
- NPI 1790972388
-
- Optometrist
- Yuma, AZ
- NPI 1285200022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1508966805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 S PACIFIC AVE",
"address_2": "STE D",
"city": "YUMA",
"state": "AZ",
"postal_code": "853653547",
"telephone_number": "928-782-7557",
"fax_number": "928-783-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S PACIFIC AVE",
"address_2": "SUITE D",
"city": "YUMA",
"state": "AZ",
"postal_code": "853653555",
"telephone_number": "928-782-7557",
"fax_number": "928-783-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETERMAN",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OD 786",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "OD 786",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "410030328",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ARIZONA",
"identifier": "AZ0249670",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "131533001",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TOM",
"last_name": "DETERMAN",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.
- 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.