Active NPI
Thomas Arthur Vogelpohl, O.D.
- Optometrist
- Saint Paul, MN
National Provider Identifier
1528004272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1789
- Practice address
- 1540 Humboldt Ave
Saint Paul, MN 55118-3417 - Phone
- (651) 457-2020
- Fax
- (651) 457-0368
- NPI assigned
- Jun 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1789 | MN | Primary |
Addresses
Primary practice location
1540 Humboldt Ave
Saint Paul, MN 55118-3417
Mailing address
1540 Humboldt Ave
Saint Paul, MN 55118-3417
Phone (651) 457-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 835823100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1789 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528004272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 HUMBOLDT AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551183417",
"telephone_number": "651-457-2020",
"fax_number": "651-457-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 HUMBOLDT AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551183417",
"telephone_number": "651-457-2020",
"fax_number": "651-457-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGELPOHL",
"first_name": "THOMAS",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "835823100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.