Active NPI
Thomas Gober, OD
- Optometrist
- Clarksville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002107A
- Practice address
- 325 E Lewis and Clark Pkwy Ste 200
Clarksville, IN 47129-1725 - Phone
- (812) 288-2029
- Fax
- (502) 736-4490
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1530DT | KY | |
| Optometrist | 152W00000X | 18002107A | IN | Primary |
Addresses
Primary practice location
325 E Lewis and Clark Pkwy Ste 200
Clarksville, IN 47129-1725
Mailing address
PO Box 207170
Dallas, TX 75320-7170
Phone (636) 200-4393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100100740 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000612 | IN | Practitioner - Optometry | 3971569880 | Reassigns benefits to 1 organization |
| I20081224000306 | KY | Practitioner - Optometry | 3971569880 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarkson Optometry Midwest Inc
Practice addresses (Care Compare)
325 E Lewis and Clark Pkwy
Suite 200
Clarksville, IN 47129-1725
Phone (818) 288-2029
43 Industrial Pkwy
Calvert City, KY 42029-8416
Phone (270) 395-8331
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002107A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Cincinnati Eye Care Team LLC | Optometrist | Past | Accepting new patients |
Locations
43 Industrial Pkwy
Calvert City, KY 42029
Phone (270) 395-8331
3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500
10639 Dixie Hwy
Louisville, KY 40272
Phone (502) 231-2020
6828 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-2020
Interoperability endpoints
- thomasgober@direct.eyecare-partners.com
Organizations & group practices 10
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
- West Chester, OH
- NPI 1003348327
-
- Optometrist
- Blue Ash, OH
- NPI 1366332777
-
- Optometrist
- Fairfield, OH
- NPI 1467342873
-
- Optometrist
- Louisville, KY
- NPI 1073550927
-
- Optometrist
- Calvert City, KY
- NPI 1356750848
-
- Optometrist
- Benton, KY
- NPI 1497948541
-
- Optometrist
- Louisville, KY
- NPI 1750662276
-
- Optometrist
- West Chester, OH
- NPI 1760412464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1619974722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207170",
"city": "DALLAS",
"state": "TX",
"postal_code": "753207170",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E LEWIS AND CLARK PKWY STE 200",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471291725",
"telephone_number": "812-288-2029",
"fax_number": "502-736-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBER",
"first_name": "THOMAS",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1530DT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002107A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100740",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.