Active NPI
Thomas Culver, OD
- Optometrist
- La Crosse, WI
National Provider Identifier
1528184801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1575
- Practice address
- 2104 State Road 16
La Crosse, WI 54601-3046 - Phone
- (608) 782-7127
- Fax
- (608) 782-7124
- NPI assigned
- Mar 21, 2007
- 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 | 1575 | WI | Primary |
Addresses
Primary practice location
2104 State Road 16
La Crosse, WI 54601-3046
Mailing address
2104 State Road 16
La Crosse, WI 54601-3046
Phone (608) 782-7127
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 |
|---|---|---|---|
| 1575 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1528184801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 STATE ROAD 16",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013046",
"telephone_number": "608-782-7127",
"fax_number": "608-782-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 STATE ROAD 16",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013046",
"telephone_number": "608-782-7127",
"fax_number": "608-782-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.