Individual provider Active NPI

Thomas Hatesohl, OD

  • Optometrist
  • Salina, KS
National Provider Identifier
1962055582
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2101 Issued in KS
Practice address
2525 Market PL
Salina, KS 67401-7609
Phone
(636) 200-4393
NPI assigned
Jul 23, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2101 KS Primary

Addresses

Primary practice location

2525 Market PL
Salina, KS 67401-7609

Mailing address

PO Box 207293
Dallas, TX 75320-7293
Phone (636) 200-4393

Other practice location 1

18 N Broadway
Herington, KS 67449-2402
Phone (785) 258-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190803000151 KS Practitioner - Optometry 2466789102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Market PL
Salina, KS 67401-7609
Phone (785) 825-0271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jul 25, 2019 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jul 25, 2019 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients

Locations

18 N Broadway
Herington, KS 67449
Phone (785) 258-2314

109 S 6th St
Ste A
Hiawatha, KS 66434
Phone (785) 742-3631

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

2525 Market Pl
Salina, KS 67401
Phone (785) 825-0271

436 S Ohio St
Salina, KS 67401
Phone (785) 825-0271

Interoperability endpoints

  • Direct secure messaging: thomashatesohl@direct.eyecare-partners.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1962055582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207293",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207293",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MARKET PL",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017609",
            "telephone_number": "636-200-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Herington",
            "state": "KS",
            "postal_code": "674492402",
            "country_code": "US",
            "telephone_number": "785-258-2314",
            "fax_number": "785-258-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATESOHL",
        "first_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.