Denny Thomas, OD
Individual provider Active NPI Optometrist · Northlake, TX
NPI 1992226559 · NPPES record last updated May 27, 2022
Key facts
- NPI
- 1992226559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9287 (TX)
- Practice address
- 1500 Commons Cir Ste 200
Northlake, TX 76226-2717 - Phone
- (940) 382-2020
- Fax
- (940) 467-0156
- NPI assigned
- Jul 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Southwest PLLC
Practice addresses (Care Compare)
1500 Commons Cir
Suite 200
Northlake, TX 76226-2717
Phone (940) 382-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20171004002124 | TX | Practitioner - Optometry | 9032484845 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9287 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current |
Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current |
Accepting new patients |
| Royal Eye Center, LLC | Optometrist | Current |
Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
16929 El Camino Real
Houston, TX 77058
Phone (346) 230-7273
3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020
1500 Commons Cir
Ste 200
Northlake, TX 76226
Phone (940) 382-2020
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9287 | TX | Yes |
Addresses
Primary practice location
1500 Commons Cir Ste 200
Northlake, TX 76226-2717
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other providers in Northlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2022. 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.