Individual provider Active NPI

Thomas Wayne Norfleet, OD

  • Optometrist
  • Bay City, MI
National Provider Identifier
1568421196
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003712 Issued in MI
Practice address
3741 Traxler CT
Ste 100
Bay City, MI 48706
Phone
(989) 684-7121
Fax
(989) 684-7677
NPI assigned
Mar 22, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003712 MI Primary

Addresses

Primary practice location

3741 Traxler CT
Ste 100
Bay City, MI 48706

Mailing address

3741 Traxler CT
Ste 100
Bay City, MI 48706
Phone (989) 684-7121

Other identifiers 1

IdentifierTypeStateIssuer
944359728MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100319000420 MI Practitioner - Optometry 4789719451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experience Your Eye Specialist PLCGroup PAC ID 5092840769, 2 clinicians

Practice addresses (Care Compare)

3941 Traxler CT
Suite 100
Bay City, MI 48706-9600
Phone (989) 684-7121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003712MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Experience Your Eye Specialist Optometrist CurrentSince Mar 1, 2001 Accepting new patients
Experience Your Eye Specialist, PLC Optometrist CurrentSince Jan 2, 2002 Accepting new patients
West Branch Eyecare P.C. Optometrist PastSince Jan 2, 2017 Accepting new patients

Locations

3941 Traxler Ct
Ste 100
Bay City, MI 48706
Phone (989) 684-7121

529 S Main St
Ste A
Standish, MI 48658
Phone (989) 846-6009

Organizations & group practices 3

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1568421196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 TRAXLER CT",
            "address_2": "STE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 TRAXLER CT",
            "address_2": "STE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-7121",
            "fax_number": "989-684-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORFLEET",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944359728",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.