Individual provider Active NPI

Alicia Reed-Thomas, O.D.

  • Optometrist
  • Brazil, IN
National Provider Identifier
1629071105
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002645B Issued in IN
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

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0730490001OtherINDMERC
000000080046OtherINBLUE CROSS BLUE SHIELD
1022881OtherINCHAMPUS
1490559OtherINUMWA
100406960AMedicaidIN
410048542OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100608000836 IN Practitioner - Optometry 7214067826 Practice locations: Brazil, IN
O20100930021477 IN DME Supplier - Physician - OptometristDME Supplier - Optician 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

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002645BINMDOptometrist

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

Sources for this page

Verify at the official NPI Registry.