Thomas Hatesohl, OD
Individual provider Active NPI Optometrist · Salina, KS
NPI 1962055582 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1962055582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2101 (KS)
- Practice address
- 2525 Market PL
Salina, KS 67401-7609 - Phone
- (636) 200-4393
- NPI assigned
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- 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
- DRS Price Young Odle and Horsch PA
Practice addresses (Care Compare)
2525 Market PL
Salina, KS 67401-7609
Phone (785) 825-0271
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190803000151 | KS | Practitioner - Optometry | 2466789102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Price Young Odle & Horsch PA | Optometrist | Current |
Accepting new patients |
| DRS Price Young Odle & Horsch PA | Optometrist | Current |
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
- thomashatesohl@direct.eyecare-partners.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2101 | KS | Yes |
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
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.