Andrea Elizabeth Thomas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002314 Issued in GA

Practice address

984 Plant Dr
Statesboro, GA 30460

Phone

(912) 478-3937

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cottonwood Vision Care LLC

  • Optometrist
  • Albuquerque, NM
  • NPI 1306913462
  NPD (past)
• Eyeworks LTD

  • Medical Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1376599936
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1760589683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 PLANT DRIVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "505-331-5391",
            "fax_number": "912-478-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 PLANT DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30460",
            "telephone_number": "912-478-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "576",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Speech Path of Statesboro, PC
• The Urgent Care Center of Richmond Hill, LLC
• The Women'S Surgery Center, LLC
• Therapy Spot LLC
• Thomas Dental Center
• Cyntoria De'Asia Thomas
• Fionn Thomas, D.M.D.
• Kristen Ashley Thomas, PA-C
• Marissa Thomas
• Anne Weekley Thompson, MSPT

• Optometrist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.