Individual provider Active NPI

Tom Francis Mihok, O.D.

  • Optometrist
  • Oakdale, CA
National Provider Identifier
1952394959
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5908T Issued in CA
Practice address
141 California Ave
Oakdale, CA 95361-2946
Phone
(209) 847-3051
Fax
(209) 847-1405
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5908T CA Primary
Optician 156FX1800X 5908T CA

Addresses

Primary practice location

141 California Ave
Oakdale, CA 95361-2946

Mailing address

141 California Ave
Oakdale, CA 95361-2946
Phone (209) 847-3051

Other identifiers 5

IdentifierTypeStateIssuer
SD0059080MedicaidCA
2216OtherCAMEDICAL EYE SERVICES
MI67356OtherCACLARITY VISION
919432OtherCAEYEMED VISION
45584OtherCASAFEGUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120320000214 CA Practitioner - Optometry 2769592575 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Oakdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James E Winnick OD Professional CorporationGroup PAC ID 5496187742, 2 clinicians

Practice addresses (Care Compare)

141 California Ave
Oakdale, CA 95361-2946
Phone (209) 847-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5908TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James E Winnick OD Professional Corporation Optometrist CurrentSince Nov 30, 2019 Accepting new patients

Locations

141 California Ave
Oakdale, CA 95361
Phone (209) 847-3051

141 California Ave
Oakdale, CA 95361
Phone (209) 847-3051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1952394959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CALIFORNIA AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953612946",
            "telephone_number": "209-847-3051",
            "fax_number": "209-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CALIFORNIA AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953612946",
            "telephone_number": "209-847-3051",
            "fax_number": "209-847-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHOK",
        "first_name": "TOM",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5908T",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "5908T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0059080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "2216",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "MI67356",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION",
            "identifier": "919432",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "45584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.