Organization Active NPI

Thomas Optical

  • Eyewear Supplier
  • Muskegon, MI
National Provider Identifier
1730349226
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THOMAS OPTICAL
Practice address
3375 McCracken St
Muskegon, MI 49441-3670
Phone
(231) 755-2291
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Mr. Tom F Bourdon
Title
Sec/Treas
Phone
(231) 755-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3375 McCracken St
Muskegon, MI 49441-3670

Mailing address

3375 McCracken St
Muskegon, MI 49441-3670

Other identifiers 1

IdentifierTypeStateIssuer
900F165060OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1730349226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MCCRACKEN ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MCCRACKEN ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413670",
            "telephone_number": "231-755-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BOURDON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "231-755-2291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900F165060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.