Thomas H. Cedarstaff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001942 Issued in IN

Practice address

3737 45TH St
Highland, IN 46322-3008

Phone

(219) 924-6300

NPI assigned

Jan 25, 2007

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1588710388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223008",
            "telephone_number": "219-924-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223008",
            "telephone_number": "219-924-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDARSTAFF",
        "first_name": "THOMAS",
        "middle_name": "H.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410022344",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clarissa Charles
• Vivian Kim Chau, PT, DPT
• Choice Home Health Care LLC

• Optometrist in Highland, IN
• Providers in Highland, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.