Active NPI
Thomas W Dawson, OD
- Corneal and Contact Management Optometrist
- Crystal River, FL
National Provider Identifier
1548263171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPC977
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084385700 | Medicaid | FL |
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
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Dunnellon, FL
- NPI 1740575323
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
- Deborra Jean Daniels, COTA/L
- Yelandra Daniels, M.D.
- David Kreinbrook, PA (7 Rivers Chiropractic Center)
- Connie Davis, ARNP,CWON,DAPWCA
- William R Davis Jr., PTA
- Debbies Kids,Inc
- John R Degraw, M.D.
- Jeffrey Eugene Depaul, PH.D., LMHC
- Desaraju & Kompella, P.a. (Hospitalists Of Citrus County)
- Chakradhar Desaraju, MD
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.