Thomas A Wilson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1380 Issued in CO

Practice address

5482 Escondido Dr
Colorado Springs, CO 80918-1911

Phone

(719) 651-4014

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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 CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OptometryAlso: Ophthalmology

Education

Pacific University - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optom-Eyes LLCGroup PAC ID 2668850934, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Optom-Eyes,LLC

  • Clinic/Center
  • Colorado Springs, CO
  • NPI 1619624632
  Medicare reassignment Care Compare group NPD
• Rockrimmon Vision Clinic

  • Optometrist
  • Colorado Springs, CO
  • NPI 1871705707
  Medicare reassignment NPD
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336134683
  NPD (past)
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1639164973
  NPD (past)
• Optom-Eyes, Inc.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1730215500
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1720073968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NEWGATE CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322832",
            "telephone_number": "719-651-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5482 ESCONDIDO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181911",
            "telephone_number": "719-651-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08013807",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Wilson
• Shameka Dayshan Wilson, PMHNP
• Shelby Dawn Wilson
• Stephanie Lynne Wilson, LPC
• Steven Scott Wilson, COTA
• Tiffany S Wilson, DC
• Tina Wilson, LLPC
• Trudy G Wilson, LPC
• Wade Wilson
• Wesley Rowland Wilson, LMFT, LAC, AAMFT SUP

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.