Organization Active NPI

Thomas a. Flynn, O.D. a Professional Corporation

Doing business as Orland Vision Center

  • Optometrist
  • Orland, CA
National Provider Identifier
1952416711
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CORPORATE # 968 Issued in CA
Legal business name
THOMAS A. FLYNN, O.D. A PROFESSIONAL CORPORATION
Doing business as
Orland Vision Center
Practice address
203 Walker St Ste 1
Orland, CA 95963-1457
Phone
(530) 865-9233
Fax
(530) 865-2398
NPI assigned
Aug 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Thomas A Flynn, O.D.NPI 1205867660
Title
President
Phone
(530) 865-9233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CORPORATE # 968 CA Primary

Addresses

Primary practice location

203 Walker St Ste 1
Orland, CA 95963-1457

Mailing address

203 Walker St.
Suite 1
Orland, CA 95963-1457
Phone (530) 865-9233

Other identifiers 2

IdentifierTypeStateIssuer
DG2946OtherCARAILROAD MEDICARE
GSD005120MedicaidCA

Other names 1

  • Orland Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000658 CA Part B Supplier - Clinic/Group Practice 8325052079 Receives reassigned benefits from 1 practitioner
Practice locations: Orland, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

203 Walker St
Ste A
Orland, CA 95963
Phone (530) 865-9233

508 Main St
Ste A
Red Bluff, CA 96080
Phone (530) 527-9242

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952416711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALKER ST.",
            "address_2": "SUITE 1",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631457",
            "telephone_number": "530-865-9233",
            "fax_number": "530-865-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALKER ST STE 1",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631457",
            "telephone_number": "530-865-9233",
            "fax_number": "530-865-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. FLYNN, O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-865-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CORPORATE # 968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2946",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.