Thomas Chris Kopan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7020T Issued in TX

Practice address

1501 West Kelly Ave
Pharr, TX 78577-1605

Phone

(956) 354-3915

Fax

(956) 354-3916

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Milauskas Eye Institute Medical Group II Inc

  • Ophthalmology Physician
  • Rancho Mirage, CA
  • NPI 1235210584

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1871656066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WEST KELLY AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771605",
            "telephone_number": "956-354-3915",
            "fax_number": "956-354-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WEST KELLY AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771605",
            "telephone_number": "956-354-3915",
            "fax_number": "956-354-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPAN",
        "first_name": "THOMAS",
        "middle_name": "CHRIS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6272T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7020T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062721",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "271004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidspeech Inc.
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• Harish Koolwal
• Savita Koolwal, MD
• La Amistad Adult Day Care LLC
• La Bendicion Primary Home Care, LLC
• La Casa de Susy Adult Day Care, LLC
• La Esperanza Adult Day Health Care Center Inc.
• La Fe Hospice, LLC.

• Optometrist in Pharr, TX
• Providers in Pharr, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.