Individual provider Active NPI

Basiliki Evelyn Tomaras, O.D.

  • Optometrist
  • Utica, MI
National Provider Identifier
1831405174
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004552 Issued in MI
Practice address
45260 Van Dyke Ave
Utica, MI 48317-5672
Phone
(586) 731-1920
Fax
(586) 731-8179
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004552 MI Primary

Addresses

Primary practice location

45260 Van Dyke Ave
Utica, MI 48317-5672

Mailing address

45260 Van Dyke Ave
Utica, MI 48317-5672
Phone (586) 731-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120619000079 MI Practitioner - Optometry 0042474355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004552MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin F Guinta Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1831405174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45260 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175672",
            "telephone_number": "586-731-1920",
            "fax_number": "586-731-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45260 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175672",
            "telephone_number": "586-731-1920",
            "fax_number": "586-731-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMARAS",
        "first_name": "BASILIKI",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.