Thomas Matthew Choponis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005074 Issued in MI

Practice address

128 W Spruce St Ste 1
Sault Sainte Marie, MI 49783

Phone

(906) 635-9600

Fax

(906) 635-1077

NPI assigned

Jul 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optom Eye Care LLC

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1134622525
  Medicare reassignment NPD Authorized official
• Brian Matthews O.D. L.L.C.

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1487958609
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1831611748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833704",
            "telephone_number": "989-944-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W SPRUCE ST STE 1",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-635-9600",
            "fax_number": "906-635-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291426",
            "country_code": "US",
            "telephone_number": "906-786-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOPONIS",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chippewa County War Memorial Hospital Inc.
• Chippewa County War Memorial Hospital Inc.
• Chippewa County War Memorial Hospital Inc.
• Chippewa Luce Mackinac Community Action Human Resource Authority (Chippewa Luce Mackinac Community Action Agency)
• Chippewa Medical Associates, Inc.
• Christina Christenson
• Mary Christiansen
• Jennifer Cifelli
• City of Sault Ste Marie (Sault Ste Marie Fire Department)
• Aaron Lee Clark, PT

• Optometrist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.