Organization Active NPI

Gill P. Thomas, OD

  • Optometrist
  • Clinton, SC
National Provider Identifier
1598932055
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
D07366 Issued in SC
Legal business name
GILL P. THOMAS, OD
Practice address
204 E Carolina Ave
Clinton, SC 29325-2523
Phone
(864) 833-1162
Fax
(864) 833-7692
NPI assigned
May 14, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Gill P Thomas, ODNPI 1134111297
Title
Owner/Optometrist
Phone
(864) 833-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X D07366 SC Primary

Addresses

Primary practice location

204 E Carolina Ave
Clinton, SC 29325-2523

Mailing address

PO Box 1185
Clinton, SC 29325-1185
Phone (864) 833-1162

Other identifiers 1

IdentifierTypeStateIssuer
D07366MedicaidSC

National Provider Directory

National Provider Directory

Locations

204 E Carolina Ave
Clinton, SC 29325
Phone (803) 833-1162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1598932055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293251185",
            "telephone_number": "864-833-1162",
            "fax_number": "864-833-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CAROLINA AVE",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252523",
            "telephone_number": "864-833-1162",
            "fax_number": "864-833-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL P. THOMAS, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GILL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "864-833-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "D07366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07366",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.