Thomas M Gulibon Jr., O.D.
Individual provider Active NPI Optometrist · Easton, PA
NPI 1790788149 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1790788149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000234 (PA)
- Practice address
- 4753 Freemansburg Ave
Easton, PA 18045-5529 - Phone
- (610) 866-1000
- Fax
- (610) 866-9583
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpha Optical Bethlehem, LLC
Practice addresses (Care Compare)
4753 Freemansburg Ave
Easton, PA 18045-5529
Phone (610) 866-1000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026001287 | PA | Practitioner - Optometry | 6608069398 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000234 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Eye Care Specialists | Optometrist | Current |
Accepting new patients |
| Alpha Optical Bethlehem, LLC | Optometrist | Current |
Accepting new patients |
Locations
4753 Freemansburg Ave
Palmer Township, PA 18045
Phone (610) 866-1000
720 Main St
Phoenixville, PA 19460
Phone (610) 933-3498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000234 | PA | Yes |
Addresses
Primary practice location
4753 Freemansburg Ave
Easton, PA 18045-5529
Mailing address
4753 Freemansburg Ave
Easton, PA 18045-5529
Phone (610) 866-1000
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.