Thomas M Mahon Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001585 Issued in GA

Practice address

1786 Oak Rd
Snellville, GA 30078-2234

Phone

(770) 979-3456

Fax

(770) 979-7476

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountainview Eye Associates, P.C.

  • Optometrist
  • Snellville, GA
  • NPI 1639344278
  Medicare reassignment NPD Authorized official
• Mahon Family Medicine

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1629318035
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1619969169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 OAK RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782234",
            "telephone_number": "770-979-3456",
            "fax_number": "770-979-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 OAK RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782234",
            "telephone_number": "770-979-3456",
            "fax_number": "770-979-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740334621A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200336",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "52636582",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mademind Wellness & Performance
• Wilfrido Matinezo Magat, M.D.
• Magz Health Services, Inc.
• Mahon Family Medicine
• Thomas M Mahon, MD
• John Ryan Mahoney, DO
• Kimberly Ann Mainer, MS, OTR/L, CLT-LANA
• Seble Makonnen, PHARM.D
• Cahveevah Malik, OTR/L
• Abhijith Dev Mally, M.D.

• Optometrist in Snellville, GA
• Providers in Snellville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.