Thomas Teselle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1838 Issued in WI

Practice address

3029 Putnam Glen PL
Eau Claire, WI 54701-5071

Phone

(715) 839-0979

NPI assigned

Jan 11, 2006

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1902885726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 PUTNAM GLEN PL",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015071",
            "telephone_number": "715-839-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 PUTNAM GLEN PL",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015071",
            "telephone_number": "715-839-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESELLE",
        "first_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38530100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Tenold, D.C.
• Scott M Tenold, D.C.
• Denis Teplitski, DNP, CRNA
• Douglas William Terpstra, D.D.S.
• Stanislav S Terziev, MD
• John Nolan Tessendorf, DDS
• Thomas J Tessendorf, DDS
• Michaela Tessling, RN
• Cathleen Tessmer, RDH
• Thiyagarajan Thangavelu, M.D.

• Optometrist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.