Individual provider Active NPI

Thomas W Dawson, OD

  • Corneal and Contact Management Optometrist
  • Crystal River, FL
National Provider Identifier
1548263171
Registry record updated Mar 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC977 Issued in FL
Practice address
1124 North Suncoast Blvd
Crystal River, FL 34429-5474
Phone
(352) 795-3317
Fax
(352) 795-3011
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC977 FL Primary

Addresses

Primary practice location

1124 North Suncoast Blvd
Crystal River, FL 34429-5474

Mailing address

PO Box 730
Crystal River, FL 34423-0730
Phone (352) 795-3317

Other identifiers 1

IdentifierTypeStateIssuer
084385700MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dunnellon Eye Care LLC Corneal and Contact Management Past Accepting new patients
Dr. Linda Azwell OD LLC Past Accepting new patients

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269734400000",
    "number": "1548263171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230730",
            "telephone_number": "352-795-3317",
            "fax_number": "352-795-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NORTH SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295474",
            "telephone_number": "352-795-3317",
            "fax_number": "352-795-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084385700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.