Organization Active NPI

Thomas Dean Blue

  • Optometrist
  • Del City, OK
National Provider Identifier
1972825412
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS DEAN BLUE
Doing business as
Thomas Blue, O.D.
Practice address
5113 A S.E 15TH St.
Del City, OK 73115
Phone
(405) 677-8831
Fax
(405) 677-8865
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Thomas Dean Blue, O.D.
Title
Owner
Phone
(405) 677-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5113 A S.E 15TH St.
Del City, OK 73115

Mailing address

5113 A S.E 15TH St.
Del City, OK 73115
Phone (405) 677-8831

Other identifiers 4

IdentifierTypeStateIssuer
DS4938OtherRAILROAD MEDICARE
100765960AMedicaidOK
200077190AMedicaidOK
540012140OtherRAILROAD MEDICARE

Other names 1

  • Thomas Blue, O.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1972825412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 A S.E 15TH ST.",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "73115",
            "telephone_number": "405-677-8831",
            "fax_number": "405-677-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 A S.E 15TH ST.",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "73115",
            "telephone_number": "405-677-8831",
            "fax_number": "405-677-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DEAN BLUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-677-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS4938",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765960A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077190A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "540012140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Blue, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.