Active NPI
Mary Jo Ann Thomas, O.D.
- Optometrist
- Trooper, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002181 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drexel University | Current | Accepting new patients | |
| Drexel University | Optometrist | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Salus University Hearing Vision Balance Clinic | Optometrist | Current | 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 | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Psychologist
- Philadelphia, PA
- NPI 1902900095
-
- Optometrist
- Philadelphia, PA
- NPI 1336160027
-
- Audiologist
- Elkins Park, PA
- NPI 1104822253
-
- Audiologist
- Elkins Park, PA
- NPI 1154785293
Optometrist
-
- Optometrist
- Philadelphia, PA
- NPI 1134166572
-
- Optometrist
- Trooper, PA
- NPI 1922289305
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1184624009
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.