Active NPI
Alicia Reed-Thomas, O.D.
- Optometrist
- Brazil, IN
National Provider Identifier
1629071105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002645B
- Practice address
- 603 W National Ave
Brazil, IN 47834-0188 - Phone
- (812) 443-3937
- Fax
- (812) 443-3937
- NPI assigned
- May 27, 2005
- Sex
- Female
- 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 | 18002645B | IN | Primary |
Addresses
Primary practice location
603 W National Ave
Brazil, IN 47834-0188
Mailing address
603 W National Ave
PO Box 188
Brazil, IN 47834
Phone (812) 443-3937
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0730490001 | Other | IN | DMERC |
| 000000080046 | Other | IN | BLUE CROSS BLUE SHIELD |
| 1022881 | Other | IN | CHAMPUS |
| 1490559 | Other | IN | UMWA |
| 100406960A | Medicaid | IN | |
| 410048542 | Other | IN | RR MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100608000836 | IN | Practitioner - Optometry | 7214067826 | Practice locations: Brazil, IN |
| O20100930021477 | IN | DME Supplier - Physician - Optometrist | 2365557246 | Practice locations: Brazil, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
603 W National Ave
Brazil, IN 47834-0188
Phone (812) 443-3937
603 W National Ave P O Box
Suite 188
Brazil, IN 47834-0188
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002645B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1629071105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W NATIONAL AVE",
"address_2": "PO BOX 188",
"city": "BRAZIL",
"state": "IN",
"postal_code": "47834",
"telephone_number": "812-443-3937",
"fax_number": "812-443-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W NATIONAL AVE",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478340188",
"telephone_number": "812-443-3937",
"fax_number": "812-443-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED-THOMAS",
"first_name": "ALICIA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002645B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0730490001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000080046",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "1022881",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1490559",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100406960A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410048542",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brazil, IN
- Putnam County Hospital (HutsonWood at Brazil)
- R. Vedala and Associates, LLC
- Joann Leathers Ragan, PTA
- Priscilla T Rasaki, FNP
- Reddy Pop Emergency Physicians
- Brenda S. Reymann, CRNA
- Tanya Ruth Reynolds, FNP
- RHC Investments, LLC - Brazil in Operations Series
- Donna E Richardson, RPT
- Janel Love Roark, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.