Organization Active NPI

Tom Annunziato, O.D., P.C.

Doing business as 1St Eye Care

  • Optometrist
  • Weatherford, TX
National Provider Identifier
1639348444
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOM ANNUNZIATO, O.D., P.C.
Doing business as
1St Eye Care
Practice address
702 S Main St
Weatherford, TX 76086-5352
Phone
(817) 594-2121
Fax
(817) 594-3825
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Tom Annunziato, OD
Title
Owner
Phone
(817) 594-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

702 S Main St
Weatherford, TX 76086-5352

Mailing address

3608 Alta Mesa Blvd
Fort Worth, TX 76133-5641
Phone (817) 346-2020

Other names 1

  • 1ST EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001228 TX Part B Supplier - Clinic/Group Practice 7315836368 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX; Weatherford, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2901 Alta Mere Dr
Ft Worth, TX 76116
Phone (817) 244-2020

702 S Main St
Weatherford, TX 76086
Phone (817) 594-2121

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1639348444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 ALTA MESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335641",
            "telephone_number": "817-346-2020",
            "fax_number": "817-370-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S MAIN ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865352",
            "telephone_number": "817-594-2121",
            "fax_number": "817-594-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM ANNUNZIATO, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-594-2121",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.