Active NPI
Thomas Kim Baugh, O.D.
- Optometrist
- Denison, TX
National Provider Identifier
1689644783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03551T
- Practice address
- 307 W Main St
Denison, TX 75020-3124 - Phone
- (903) 465-9214
- Fax
- (903) 463-6919
- NPI assigned
- Jan 23, 2006
- Last updated
- Apr 27, 2012
- 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 | 03551T | TX | Primary |
Addresses
Primary practice location
307 W Main St
Denison, TX 75020-3124
Mailing address
307 W Main St
Denison, TX 75020-3124
Phone (903) 465-9214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019455701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main St. Optical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Denison, TX
- NPI 1740466697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1689644783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W MAIN ST",
"city": "DENISON",
"state": "TX",
"postal_code": "750203124",
"telephone_number": "903-465-9214",
"fax_number": "903-463-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W MAIN ST",
"city": "DENISON",
"state": "TX",
"postal_code": "750203124",
"telephone_number": "903-465-9214",
"fax_number": "903-463-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUGH",
"first_name": "THOMAS",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "03551T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019455701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.