Active NPI
Thomas H. Ophardt, O.D.
- Optometrist
- Brockport, NY
National Provider Identifier
1649229121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV04006-1
- Practice address
- 15 Market St
Brockport, NY 14420-1911 - Phone
- (585) 395-9030
- Fax
- (585) 395-9033
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 | TUV04006-1 | NY | Primary |
Addresses
Primary practice location
15 Market St
Brockport, NY 14420-1911
Mailing address
15 Market St
Brockport, NY 14420-1911
Phone (585) 395-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV04006-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Associates of Rochester | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1649229121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MARKET ST",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201911",
"telephone_number": "585-395-9030",
"fax_number": "585-395-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MARKET ST",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201911",
"telephone_number": "585-395-9030",
"fax_number": "585-395-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPHARDT",
"first_name": "THOMAS",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV04006-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockport, NY
- Oak Orchard Community Health Center
- Oak Orchard Community Health Center Inc.
- Oak Orchard Community Health Center, Inc.
- Oak Orchard Community Health Center, Inc.
- Oak Orchard Community Health Center, Inc.
- Michael Paganin, RPH
- Emily Marie Pawlowski, PT
- Chase Abbott Pecoraro, DPT
- Sarah Pericozzi, PT, DPT
- Daniel P Perry, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.