DR. THOMAS ANDERSON (NPI# 1023104437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023104437 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ANDERSON |
| Credential | O.D. |
| Practice Address |
710 W Third Avenue Peoria IL 61605 |
| Practice Telephone | 3096743329 |
| Practice Fax Number | 3096742928 |
| Mailing Telephone | 3096743329 |
| Mailing Fax Number | 3096742928 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083053078 | Thomas Joseph Anderson | Radiology | 330 Brookline Ave., Shapiro Clinical Center 4th Floor, Department of Radiology, Beth Israel Deaconess Medical, Boston, MA 02215 | 2013-06-23 |
| 1174858047 | Thomas Christian Anderson | Psychologist | 137 N. Oak Park Avenue, 302a, Oak Park, IL 60301-1422 | 2009-10-12 |
| 1710152517 | Thomas Neal Anderson | Dentist | 25432 Trabuco Rd, #206, Lake Forest, CA 92630-2758 | 2008-04-23 |
| 1770762023 | Thomas E Anderson | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424-2567 | 2007-11-02 |
| 1881897254 | Thomas Frederick Anderson | Dentist | 421 W Twohig, San Angelo, TX 76903 | 2007-06-06 |
| 1720299670 | Thomas Ray Anderson | Dentist | 113 Hwy. 274 S., Kemp, TX 75143-0348 | 2007-05-24 |
| 1750413456 | Thomas T Anderson | Dentist | 2685 Channing Way, Idaho Falls, ID 83404 | 2007-03-09 |
| 1316027824 | Thomas W Anderson | Chiropractor | 4568 Highland Dr Ste 340, Salt Lake City, UT 84117-4233 | 2006-10-17 |
| 1710071626 | Thomas S Anderson | Spec/Tech, Cardiovascular | 1906 Redbud Dr, Rockdale, TX 76567-2550 | 2006-10-03 |
| 1487755443 | Thomas Gordon Anderson | Emergency Medicine | Red Hook Plaza, Suite 205, St. Thomas, VI 00802 | 2006-09-25 |
| Street Address |
710 W THIRD AVENUE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| 1639148356 | William G Nulty | Pediatrics | One Illini Dr, Medical Service Plan, Peoria, IL 61605 | 2006-03-15 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1487175741 | Mark William Wellman | Optometrist | 18431 N 91st Ave Ste 1, Peoria, AZ 85382-0817 | 2017-06-27 |
| 1255674313 | John M. Rinehart, O.d., P.C. | Optometrist | 13260 N 94th Dr Ste 420, Peoria, AZ 85381-4241 | 2013-03-27 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1912212960 | Macarius, Max & Daniel, LLC | Optometrist | 2415 W Glen Ave, Peoria, IL 61614-4533 | 2010-08-15 |
| 1922242379 | John P Gysin Od | Optometrist | 5901 N Prospect Rd Ste 11, Peoria, IL 61614-4337 | 2009-04-29 |
| 1912169962 | Timothy G. Cundiff | Optometrist | 4900 N Glen Park Place Rd Ste C, Peoria, IL 61614-4685 | 2008-07-01 |
| 1396883401 | Eye Boutique Inc | Optometrist | 2524 W Farrelly Ave, Peoria, IL 61615-3650 | 2007-02-01 |
| 1316098791 | Jackson Romaine Bennett Jr. | Optometrist | 4530 N Brandywine Dr, Eyeglass World 12, Peoria, IL 61614-5570 | 2007-01-14 |
| 1487713160 | Christopher James Parot | Optometrist | 15256 N.75th Ave., Suite 380, Peoria, AZ 85381 | 2006-12-08 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.