Active NPI
Thomas Gregory Dulos, O.D.
- Optometrist
- Ottawa, KS
National Provider Identifier
1538123765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS 1167-3
- Practice address
- 1302 S Main St
Ottawa, KS 66067-3527 - Phone
- (785) 242-3707
- NPI assigned
- Apr 14, 2006
- Last updated
- May 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | KS 1167-3 | KS | Primary |
Addresses
Primary practice location
1302 S Main St
Ottawa, KS 66067-3527
Mailing address
1302 S Main St
Ottawa, KS 66067-3527
Phone (785) 242-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1302 S Main St
Suite 7
Ottawa, KS 66067-3533
Phone (785) 242-3707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS 1167-3 | KS | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Ottawa, KS
- NPI 1477842292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1538123765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673527",
"telephone_number": "785-242-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673527",
"telephone_number": "785-242-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULOS",
"first_name": "THOMAS",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "KS 1167-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.