Individual provider Active NPI

Lanita R Thomas, O.D.

  • Optometrist
  • Owasso, OK
National Provider Identifier
1518919299
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2214 Issued in OK
Practice address
12406 E 86TH St N
Owasso, OK 74055-2500
Phone
(918) 376-2700
Fax
(918) 376-2722
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2214 OK Primary

Addresses

Primary practice location

12406 E 86TH St N
Owasso, OK 74055-2500

Mailing address

12406 E 86TH St N
Owasso, OK 74055-2500
Phone (918) 376-2700

Other identifiers 2

IdentifierTypeStateIssuer
TE12672OtherOKSPECTERA VISION PLAN
100763280AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040610001598 OK Practitioner - Optometry 6204818800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Care PCGroup PAC ID 4880676485, 2 clinicians

Practice addresses (Care Compare)

12406 E 86TH St N
Owasso, OK 74055-2500
Phone (918) 376-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Care PC Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Thomas Dental Care, P.C. Past Accepting new patients

Locations

12406 E 86th St N
Owasso, OK 74055
Phone (918) 376-2700

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1518919299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552500",
            "telephone_number": "918-376-2700",
            "fax_number": "918-376-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552500",
            "telephone_number": "918-376-2700",
            "fax_number": "918-376-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LANITA",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION PLAN",
            "identifier": "TE12672",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.