Thomas M. Erichson, O.D., P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004036 Issued in NY

Legal business name

THOMAS M. ERICHSON, O.D., P.L.L.C.

Practice address

1 Bushwick Rd Ste B
Poughkeepsie, NY 12603-3839

Phone

(845) 471-1147

Fax

(845) 473-1849

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M. Erichson, O.D.

Title

Owner

Phone

(845) 471-1147

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda L Kennedy, D.C.

  • Chiropractor
  • Lagrangeville, NY
  • NPI 1356431423
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1902115009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-471-1147",
            "fax_number": "845-473-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUSHWICK RD STE B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033839",
            "telephone_number": "845-471-1147",
            "fax_number": "845-473-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. ERICHSON, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "ERICHSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-471-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "A100046955",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER PTAN",
            "identifier": "A400047000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Theiss
• Theodora S. Budnik, M.D.
• Therapeutic Foundations LCSW PLLC
• Scholastica Thiongo
• Thomas M. Erichson, O.D., P.L.L.C.
• Channel Yasmine Danyel Thomas, MD
• Diane Thomas, LPN
• Eileen Thomas, CASAC ADVANCED
• Erica Thomas
• Jessica Ann Thomas, IBCLC

• Optometrist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Optometrist in New York

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