Active NPI
Thomas Eugene Ward, O.D.
- Optometrist
- Redding, CA
National Provider Identifier
1619020609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5966T
- Practice address
- 2132 Eureka Way
Redding, CA 96001-0427 - Phone
- (530) 244-4234
- Fax
- (530) 244-0465
- NPI assigned
- Jan 21, 2007
- 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 | 5966T | CA | Primary |
Addresses
Primary practice location
2132 Eureka Way
Redding, CA 96001-0427
Mailing address
2132 Eureka Way
Redding, CA 96001-0427
Phone (530) 244-4234
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0059660 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 06769 | Other | CA | MEDICAL EYE SERVICES |
| 116543 | Other | CA | EYEMED |
| SD0059660 | Medicaid | CA | |
| 942474967 | Other | CA | TAX ID |
| SD0059660 | Other | CA | BLUE CROSS OF CALIFORNIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59660 | CA | MD | General Practice Dentistry |
| 5966T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turner Optometric Corp | Optometrist | Current | Accepting new patients |
Locations
2132 Eureka Way
Redding, CA 96001
Phone (530) 244-4234
Interoperability endpoints
- drward@meredithturnerod.eyeclinicdirect.net
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 and National Provider Directory roles.
-
- Optometrist
- Redding, CA
- NPI 1023784089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1619020609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960010427",
"telephone_number": "530-244-4234",
"fax_number": "530-244-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960010427",
"telephone_number": "530-244-4234",
"fax_number": "530-244-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "THOMAS",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5966T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "SD0059660",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "06769",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "116543",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0059660",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "942474967",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "SD0059660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.