Individual provider Active NPI

Thomas Francis Determan

  • Optometrist
  • Yuma, AZ
National Provider Identifier
1508966805
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 786 Issued in AZ
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

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410030328OtherAZRAILROAD
AZ0249670OtherAZBCBS ARIZONA
131533001OtherAZDMERC

Other names 1

  • Tom Determan Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000398 AZ Practitioner - Optometry 3072642537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD 786AZMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Vision Center, Inc Optometrist CurrentSince Sep 27, 1990 Accepting new patients
Optometric Consulting Services, Inc Optometrist CurrentSince Sep 10, 2022 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

  • Direct secure messaging: dr.determan@yumavision.eyefinity-direct.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.