Active NPI
Thomas C McIntosh, O.D.
- Optometrist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1195
- Practice address
- 1804 W Arlington Blvd
Greenville, NC 27834-5704 - Phone
- (252) 752-4380
- Fax
- (252) 747-0419
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1195 | NC | Primary |
Addresses
Primary practice location
1804 W Arlington Blvd
Greenville, NC 27834-5704
Mailing address
1804 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-4380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7909578 | Medicaid | NC | |
| 09578 | Other | NC | BCBS |
| 1679675581 | Other | NC | GROUP NPI |
| 410017944 | Other | NC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1804 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-4380
915 E Fire Tower Rd
Suite 108
Winterville, NC 28590-9303
Phone (252) 516-6581
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1195 | NC | MD | Optometrist |
| 1195 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Vision Care DRS. McIntosh & Associates OD PA | Optometrist | Current | Accepting new patients |
| Carolina Vision Care Dr. Thomas C. McIntosh OD PA | Optometrist | Current | Accepting new patients |
Locations
1804 W Arlington Blvd
Greenville, NC 27834
Phone (252) 752-4380
915 E Fire Tower Rd
Ste 108
Winterville, NC 28590
Phone (252) 516-6581
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.
-
dba Carolina Vison Care
- Optometrist
- Greenville, NC
- NPI 1679675581
-
dba Carolina Vision Care
- Optometrist
- Winterville, NC
- NPI 1841837085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1750352688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-4380",
"fax_number": "252-747-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-4380",
"fax_number": "252-747-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC1195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7909578",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09578",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1679675581",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410017944",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.