Organization Active NPI

Thomas a Margius, OD, PC

  • Optometrist
  • Milford, CT
National Provider Identifier
1992006340
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001050 Issued in CT
Legal business name
THOMAS A MARGIUS, OD, PC
Practice address
122 Broad St
West Suite
Milford, CT 06460-4725
Phone
(203) 877-4060
Fax
(203) 877-1566
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Thomas A Margius, O.D.NPI 1730275702
Title
President
Phone
(203) 877-4060

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 001050 CT Primary

Addresses

Primary practice location

122 Broad St
West Suite
Milford, CT 06460-4725

Mailing address

122 Broad St
West Suite
Milford, CT 06460-4725
Phone (203) 877-4060

Other identifiers 1

IdentifierTypeStateIssuer
004089901MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101129000145 CT Part B Supplier - Clinic/Group Practice 1355468034 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, CT

National Provider Directory

National Provider Directory

Locations

122 Broad St
Milford, CT 06460
Phone (203) 877-4060

122 Broad St
Ste 2
Milford, CT 06460
Phone (203) 877-4060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1992006340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BROAD ST",
            "address_2": "WEST SUITE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604725",
            "telephone_number": "203-877-4060",
            "fax_number": "203-877-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BROAD ST",
            "address_2": "WEST SUITE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604725",
            "telephone_number": "203-877-4060",
            "fax_number": "203-877-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A MARGIUS, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MARGIUS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-877-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "001050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004089901",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.