Patrica Thormahlen, OPTICAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D1071 Issued in CA

Practice address

10 E State St
Redlands, CA 92373-4754

Phone

(951) 692-1323

Fax

(866) 258-0370

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Mountain Vista Optical

  • Eyewear Supplier
  • Redlands, CA
  • NPI 1114041688
  NPD (past)
• Mountain Vista Optical

  • Eyewear Supplier
  • Redlands, CA
  • NPI 1700900602
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891819793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LAKE PARK DR SPC 186",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925837586",
            "telephone_number": "951-692-1323",
            "fax_number": "866-258-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734754",
            "telephone_number": "951-692-1323",
            "fax_number": "866-258-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORMAHLEN",
        "first_name": "PATRICA",
        "credential": "OPTICAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneisha Thomas
• Taren Renae Thomas
• Kaitlyn Thompson, ATC
• Kimberly Thompson
• Brian Thomson, MFT
• Martha Holland Thorson, D.MIN., M.A.
• Thrifty Payless Inc
• Thrive Pediatrics
• Ei Ei Thu, MD
• Todd C Rau MD Inc

• Optician in Redlands, CA
• Providers in Redlands, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.