Active NPI
Thomas F Terry, OD
- Optometrist
- White River Junction, VT
National Provider Identifier
1588650568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030-0000167
- Practice address
- 128 N Main St
White River Junction, VT 05001-7056 - Phone
- (802) 295-3300
- Fax
- (802) 295-6581
- NPI assigned
- Sep 23, 2005
- Last updated
- Dec 16, 2011
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030-0000167 | VT | Primary |
Addresses
Primary practice location
128 N Main St
White River Junction, VT 05001-7056
Mailing address
128 N Main St
White River Junction, VT 05001-7056
Phone (802) 295-3300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030264105 | Other | CIGNA | |
| 030264105 | Other | AARP | |
| 030264105 | Other | BANKER'S LIFE | |
| 953283 | Other | MVP | |
| VT0167 | Other | EYE MED | |
| TEVT7953 | Medicaid | VT | |
| 030264105 | Other | VSP | |
| 0908741YOVT01 | Other | NH | ANTHEM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1588650568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050017056",
"telephone_number": "802-295-3300",
"fax_number": "802-295-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050017056",
"telephone_number": "802-295-3300",
"fax_number": "802-295-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030-0000167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "030264105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "030264105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANKER'S LIFE",
"identifier": "030264105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "953283",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "VT0167",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TEVT7953",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "030264105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0908741YOVT01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.