Individual provider Active NPI

Mary Jo Ann Thomas, O.D.

  • Optometrist
  • Trooper, PA
National Provider Identifier
1942431663
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002181 Issued in PA
Practice address
2900 W Germantown Pike
Trooper, PA 19403-1037
Phone
(610) 630-6633
Fax
(610) 630-8239
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002181 PA Primary

Addresses

Primary practice location

2900 W Germantown Pike
Trooper, PA 19403-1037

Mailing address

2900 W Germantown Pike
Trooper, PA 19403-1037
Phone (610) 630-6633

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
I20110428000223 PA Practitioner - Optometry 8729263181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Practice addresses (Care Compare)

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002181PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Dec 28, 2024 Accepting new patients
Drexel University Optometrist CurrentSince Dec 28, 2024 Accepting new patients
Drexel University Current Accepting new patients
Salus University Hearing Vision Balance Clinic Optometrist CurrentSince Jan 26, 2011 Accepting new patients
Drexel University Optometrist Current Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Optometrist Past Accepting new patients
Therese C. Deschenes, OD; PC Optometrist PastSince Mar 20, 2008 Accepting new patients
Pennsylvania College of Optometry Optometrist Past Accepting new patients

Locations

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

7630 Germantown Ave
Ste 4
Philadelphia, PA 19118
Phone (215) 276-6000

1200 W Godfrey Ave
Philadelphia, PA 19141
Phone (215) 276-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maryjo.thomas.p1@direct.salusuhealth.nextgenshare.com

Organizations & group practices 8

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1942431663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W GERMANTOWN PIKE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-630-6633",
            "fax_number": "610-630-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W GERMANTOWN PIKE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-630-6633",
            "fax_number": "610-630-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY JO",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trooper, PA

Sources for this page

Verify at the official NPI Registry.