Active NPI
Thomas Optical
- Eyewear Supplier
- Muskegon, MI
National Provider Identifier
1730349226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900F165060 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.