Individual provider Active NPI

Thomas W Cummings, OD

  • Optometrist
  • Woodland Park, CO
National Provider Identifier
1528274305
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1456 Issued in CO
Practice address
101 C Sundial Drive
Woodland Park, CO 80863-7769
Phone
(719) 687-3937
Fax
(719) 687-9308
NPI assigned
May 16, 2007
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1456 CO Primary

Addresses

Primary practice location

101 C Sundial Drive
Woodland Park, CO 80863-7769

Mailing address

180 Berylium Road
Florissant, CO 80816
Phone (719) 684-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20041101000273 CO Practitioner - Optometry 7618939752 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1456COMDProfessional Counselor
OPT1456COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cummings Vision Care PC Optometrist CurrentSince Mar 4, 2011 Accepting new patients
Tanner Vision Services PLLC Optometrist CurrentSince Jun 27, 2024 Accepting new patients

Locations

101 Sundial Dr
Ste C
Woodland Park, CO 80863
Phone (719) 687-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1528274305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BERYLIUM ROAD",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "80816",
            "telephone_number": "719-684-5317",
            "fax_number": "719-687-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 C SUNDIAL DRIVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637769",
            "telephone_number": "719-687-3937",
            "fax_number": "719-687-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.