Individual provider Active NPI

Barbara J Thomson, O.D.

  • Optometrist
  • West Grove, PA
National Provider Identifier
1912929167
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000295 Issued in PA
Practice address
57 Jenners Village Center
West Grove, PA 19390-9189
Phone
(610) 869-4200
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000295 PA Primary

Addresses

Primary practice location

57 Jenners Village Center
West Grove, PA 19390-9189

Mailing address

57 Jenners Village Center
West Grove, PA 19390-9189
Phone (610) 869-4200

Other identifiers 1

IdentifierTypeStateIssuer
001574436 0006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081103000570 PA Practitioner - Optometry 1850450073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric R. Miller, OD, PCGroup PAC ID 3476591397, 5 clinicians

Practice addresses (Care Compare)

57 Jenners Village Ctr
West Grove, PA 19390-8102
Phone (610) 869-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000295PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R. Miller, OD, PC Optometrist CurrentSince Dec 11, 2007 Accepting new patients
Eric R. Miller, OD, PC PastSince Dec 11, 2007 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2006 Accepting new patients

Locations

57 Jenners Village Ctr
West Grove, PA 19390
Phone (610) 869-4200

Interoperability endpoints

  • Direct secure messaging: btm@millereyecareonline.emadirect.md
  • Direct secure messaging: millereyecare2@directaddress.net

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1912929167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001574436 0006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.