Sylvia Thoman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009647 Issued in IL

Practice address

575 S Perryville Rd
Rockford, IL 61108-2530

Phone

(815) 315-9358

Fax

(815) 397-4684

NPI assigned

Jan 18, 2007

Last updated

Feb 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Style Optique IncGroup PAC ID 6002166378, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Style Optique Inc

  • Optometrist
  • South Barrington, IL
  • NPI 1669968475
  Medicare reassignment Care Compare group NPD
• Susan M Penner

  dba Elgin Family Eye Care

  • Optometrist
  • Elgin, IL
  • NPI 1508088683
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1528110533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 TAMARACK DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "815-315-9358",
            "fax_number": "815-397-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4515286",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore S. Ingrassia, III, M.D.S.C.
• Annelise Thifault
• Jennifer Thilges, APRN
• Thinfast MD Rockford
• David T Thom, DPM
• Thomas a Runne DPM LTD
• Thomas B. Dudgeon, PH.D., PC
• Anita Ann Thomas Bua, LCPC,LPC
• Thomas H. Moore D.D.S. LTD
• Thomas H. Moore DDS LTD

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.

Verify at the official NPI Registry.