Individual provider Active NPI

Thom Dinh, OD

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1649584087
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1598-631T Issued in LA
Practice address
4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771
Phone
(337) 984-7112
Fax
(337) 984-7114
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1598-631T LA Primary

Addresses

Primary practice location

4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771

Mailing address

8945 Cortana PL
Baton Rouge, LA 70815-8702
Phone (225) 929-7995

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110506000210 LA Practitioner - Optometry 1254516297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thom Dinh OD LLCGroup PAC ID 2769658012, 2 clinicians

Practice addresses (Care Compare)

4415 Ambassador Caffery Pkwy
Lafayette, LA 70508-6771
Phone (337) 984-7112

6109 Pinnacle Pkwy
Covington, LA 70433-9195
Phone (985) 893-2722

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1649584087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 CORTANA PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708158702",
            "telephone_number": "225-929-7995",
            "fax_number": "225-929-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086771",
            "telephone_number": "337-984-7112",
            "fax_number": "337-984-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "THOM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1598-631T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.