Individual provider Active NPI

Thomas Aquinas Margius, O.D.

  • Optometrist
  • Milford, CT
National Provider Identifier
1730275702
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001050 Issued in CT
Practice address
122 Broad St
Milford, CT 06460-4725
Phone
(203) 877-4060
Fax
(203) 877-1566
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001050 CT Primary

Addresses

Primary practice location

122 Broad St
Milford, CT 06460-4725

Mailing address

122 Broad St
Milford, CT 06460-4725
Phone (203) 877-4060

Other identifiers 1

IdentifierTypeStateIssuer
004089907MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101201000169 CT Practitioner - Optometry 4880707090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1050CTMDClinical Psychologist
001050CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Margius, OD, PC Optometrist CurrentSince Apr 23, 1987 Accepting new patients

Locations

122 Broad St
Ste 2
Milford, CT 06460
Phone (203) 877-4060

122 Broad St
Milford, CT 06460
Phone (203) 877-4060

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1730275702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604725",
            "telephone_number": "203-877-4060",
            "fax_number": "203-877-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604725",
            "telephone_number": "203-877-4060",
            "fax_number": "203-877-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGIUS",
        "first_name": "THOMAS",
        "middle_name": "AQUINAS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "001050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004089907",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.