Thomas Ralph Doud, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003117 Issued in MI

Practice address

11200 Highland Road
Suite 501
Hartland, MI 48353

Phone

(810) 632-5240

Fax

(810) 632-2048

NPI assigned

Jan 30, 2007

Last updated

Jun 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Optometry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ave Maria EyecareGroup PAC ID 8527533371, 2 clinicians

Thomas R Doud OD PCGroup PAC ID 9537232848, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas R Doud OD PC

  dba Hartland Eye Care

  • Optometrist
  • Hartland, MI
  • NPI 1326208489
  Medicare reassignment Care Compare group Authorized official
• Ave Maria Eyecare

  • Optometrist
  • Hartland, MI
  • NPI 1912865718
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1649316175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND ROAD",
            "address_2": "SUITE 501",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-5240",
            "fax_number": "810-632-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 HIGHLAND ROAD",
            "address_2": "SUITE 501",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-5240",
            "fax_number": "810-632-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "THOMAS",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003117",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901003117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah David Diller
• Ashley Dinobile
• Marianne Amy Dion
• DMC Billing Associates LLC
• Harry Louis Doerr, MD, MHSA
• Christina Diane Dunn
• Durable Medical Solutions
• Paige Mary Dwyer
• Beth Ann Economou, M.S. CCC-SLP
• Amy Embree, D.O.

• Optometrist in Hartland, MI
• Providers in Hartland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.

Verify at the official NPI Registry.