Individual provider Active NPI

Jennifer Veronica Thomas, OD

  • Corneal and Contact Management Optometrist
  • Wantagh, NY
National Provider Identifier
1750523528
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
006800 Issued in NY
Practice address
2266 Arby CT
Wantagh, NY 11793-3852
Phone
(516) 308-3045
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 006800 NY Primary

Addresses

Primary practice location

2266 Arby CT
Wantagh, NY 11793-3852

Mailing address

2266 Arby CT
Wantagh, NY 11793-3852
Phone (516) 308-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050609000016 NY Practitioner - Optometry 1557304698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc CurrentSince Sep 1, 2015 Accepting new patients
Empire Vision Center, Inc CurrentSince Sep 1, 2015 Accepting new patients
Baldwin Optometry PC PastSince Mar 29, 2007 Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

130 N Route 303
Ste 6
West Nyack, NY 10994
Phone (845) 348-3236

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1750523528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 ARBY CT",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933852",
            "telephone_number": "516-308-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 ARBY CT",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933852",
            "telephone_number": "516-308-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "006800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.