Individual provider Active NPI

Thomas L D'Alonzo, O.D.

  • Optometrist
  • Clifton Heights, PA
National Provider Identifier
1699713826
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000921 Issued in PA
Practice address
420 N Springfield Rd
Clifton Heights, PA 19018-1304
Phone
(610) 626-9124
Fax
(610) 626-0901
NPI assigned
Jun 2, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000921 PA Primary

Addresses

Primary practice location

420 N Springfield Rd
Clifton Heights, PA 19018-1304

Mailing address

420 N Springfield Rd
Clifton Heights, PA 19018-1304
Phone (610) 626-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100816000482 PA Practitioner - Optometry 5294869061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas L Dalonzo PCGroup PAC ID 7113051988, 2 clinicians

Practice addresses (Care Compare)

420 N Springfield Rd
Clifton Heights, PA 19018-1304
Phone (610) 626-9124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000921PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas L Dalonzo PC Optometrist CurrentSince May 14, 2007 Accepting new patients

Locations

420 N Springfield Rd
Clifton Hts, PA 19018
Phone (610) 626-9124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1699713826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N SPRINGFIELD RD",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181304",
            "telephone_number": "610-626-9124",
            "fax_number": "610-626-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N SPRINGFIELD RD",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181304",
            "telephone_number": "610-626-9124",
            "fax_number": "610-626-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALONZO",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Heights, PA

Sources for this page

Verify at the official NPI Registry.