Individual provider Active NPI

Fletcher H Thames, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1881768513
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7590 Issued in CA
Practice address
2723 Crow Canyon Rd Ste 102
San Ramon, CA 94583-1635
Phone
(925) 831-1084
Fax
(925) 831-8193
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7590 CA Primary

Addresses

Primary practice location

2723 Crow Canyon Rd Ste 102
San Ramon, CA 94583-1635

Mailing address

2723 Crow Canyon Rd Ste 102
San Ramon, CA 94583-1635
Phone (925) 831-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091015000159 CA Practitioner - Optometry 4284646225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Ramon Optometric Group Inc.Group PAC ID 6901835032, 2 clinicians

Practice addresses (Care Compare)

2723 Crow Canyon Rd
Suite 102
San Ramon, CA 94583-1635
Phone (925) 831-1084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Optometric Group Inc Optometrist CurrentSince Oct 1, 2002 Accepting new patients

Locations

2723 Crow Canyon Rd
Ste 102
San Ramon, CA 94583
Phone (925) 831-1084

Organizations & group practices 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1881768513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD STE 102",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831635",
            "telephone_number": "925-831-1084",
            "fax_number": "925-831-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CROW CANYON RD STE 102",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831635",
            "telephone_number": "925-831-1084",
            "fax_number": "925-831-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "FLETCHER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.