Individual provider Active NPI

Thomas F Rippner, O.D.

  • Optometrist
  • San Luis Obispo, CA
National Provider Identifier
1578613451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4852 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT4852 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111221000504 CA Practitioner - Optometry 4587830575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CorporationGroup PAC ID 4688661747, 4 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT4852CAMDOptometrist

Organizations & group practices 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578613451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PEACH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012856",
            "telephone_number": "805-541-1342",
            "fax_number": "805-541-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPNER",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.