Thomas Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THOMAS OPTICAL

Practice address

954 Market St
Charlestown, IN 47111-1951

Phone

(812) 503-5181

Fax

(812) 565-2801

NPI assigned

Jun 7, 2017

Last updated

Jun 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Shane Thomas

Title

Owner/Optician

Phone

(812) 503-5181

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1568991156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 MARKET ST",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471111951",
            "telephone_number": "812-503-5181",
            "fax_number": "812-565-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 MARKET ST",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471111951",
            "telephone_number": "812-503-5181",
            "fax_number": "812-565-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "812-503-5181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346664745",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Ann Swan, B.S
• Mallisa Swartz
• Tandem Behavioral Health LLC
• Allison Tate
• Zakiya Taylor
• Madonna Renee Thomas, PT
• Phillip Thomas
• Dawn M Thompson, OT
• Traci L Rogers Physical Therapy, P. C.
• Toni Trainor

• Eyewear Supplier in Charlestown, IN
• Providers in Charlestown, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.