Thomas Joseph Mirabile, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1350 Issued in SC

Practice address

1031 Highway 41
Ste 400
Mt Pleasant, SC 29466-9320

Phone

(843) 388-1888

Fax

(843) 856-9643

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 3 D Optometry PC

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1376604546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1679538284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 HIGHWAY 41",
            "address_2": "STE 400",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669320",
            "telephone_number": "843-388-1888",
            "fax_number": "843-856-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 HIGHWAY 41",
            "address_2": "STE 400",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669320",
            "telephone_number": "843-388-1888",
            "fax_number": "843-856-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABILE",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13509",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keaton Leigh Mims, M.S.N.
• Mind Over Matter Counseling LLC
• Melissa F. Minger, D.M.D.
• Ann Gordon Finney Mink, DPT
• Kelley Elizabeth Minor, DVM
• Melissa Mitchell-Blitch, LPC, CACII
• Ashley Nicole Mitchell, PHARM D.
• Elizabeth Nicole Mitchell, PHARMD
• Michael C Mithoefer, MD
• Michele A Mittelbronn, M.D.

• Optometrist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.