Organization Active NPI

Thomas L. Monje, O.D.

  • Optometrist
  • De Soto, MO
National Provider Identifier
1982880084
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02138 Issued in MO
Legal business name
THOMAS L. MONJE, O.D.
Practice address
26 Jefferson SQ
De Soto, MO 63020-1031
Phone
(636) 586-2626
Fax
(636) 586-2700
NPI assigned
Jan 18, 2008
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Thomas L Monje, O.D.
Title
Optometrist/Owner
Phone
(636) 586-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02138 MO Primary

Addresses

Primary practice location

26 Jefferson SQ
De Soto, MO 63020-1031

Mailing address

26 Jefferson SQ
De Soto, MO 63020-1031
Phone (636) 586-2626

National Provider Directory

National Provider Directory

Locations

26 Jefferson Sq
De Soto, MO 63020
Phone (314) 586-2626

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1982880084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JEFFERSON SQ",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201031",
            "telephone_number": "636-586-2626",
            "fax_number": "636-586-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JEFFERSON SQ",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201031",
            "telephone_number": "636-586-2626",
            "fax_number": "636-586-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. MONJE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "MONJE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "636-586-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Soto, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.