Thomas B Pardee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002600 Issued in MI

Practice address

4091 Richfield Rd
Flint, MI 48506-2033

Phone

(810) 736-0710

Fax

(810) 736-2713

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1508998535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-0710",
            "fax_number": "810-736-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-0710",
            "fax_number": "810-736-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEE",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "900B565730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tushar Pansuriya, MD
• Amrita Pant, MD
• Laurel Anne Paradise-Bumhoffer, DNP, FNP-C
• Paragon Non-Profit Housing Corporation
• Sunil Dutt Parashar, MD
• Erica L Pardike
• Tanisha L Parham
• Sonia Parievsky, MD
• Niraj P Parikh, M.D.
• Omega S Paril, M.D.

• Optometrist in Flint, MI
• Providers in Flint, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.