Thomas F Rippner, O.D.
Individual provider Active NPI Optometrist · San Luis Obispo, CA
NPI 1578613451 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578613451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT4852 (CA)
- Practice address
- 1270 Peach St
San Luis Obispo, CA 93401-2856 - Phone
- (805) 541-1342
- Fax
- (805) 541-5836
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Limberg Eye Surgery a Medical Corporation
Practice addresses (Care Compare)
1270 Peach St
Suite 100
San Luis Obispo, CA 93401-2821
Phone (805) 541-1342
6195 Fremont Cir
Camarillo, CA 93012-4338
Phone (805) 541-1342
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000504 | CA | Practitioner - Optometry | 4587830575 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT4852 | CA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT4852 | CA | Yes |
Addresses
Primary practice location
1270 Peach St
San Luis Obispo, CA 93401-2856
Mailing address
1270 Peach St
San Luis Obispo, CA 93401-2856
Phone (805) 541-1342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0048520 | Medicaid | CA |
Other providers in San Luis Obispo, CA
- Jeremy Rinaldi
- Jessa Rae Ripley
- Ryan Jay Ripley
- Andrea Ripoyla
- Sharon Anderson Rippner
- Rise Medical Services
- Rite Aid Pharmacy
- Jethro Trees Ritter
- Stacey Jensen Ritter
- Cecilia Rivas
All providers in San Luis Obispo, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.