DR. KENNETH L THOMAS (NPI# 1124115506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124115506 |
| Entity Type | Individual |
| Full Name | DR. KENNETH L THOMAS |
| Credential | O.D. |
| Practice Address |
1372 W Robinhood Dr Suite D Stockton CA 95207-5513 |
| Practice Telephone | 2094774414 |
| Practice Fax Number | 2094770159 |
| Mailing Telephone | 2094774414 |
| Mailing Fax Number | 2094770159 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5472T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0054720 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589534 | Kenneth Thomas | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-09 |
| 1205264140 | Kenneth Thomas | Counselor | 1010 E Southern Ave, 2, Phoenix, AZ 85040-3123 | 2013-10-30 |
| 1801153374 | Kenneth Lee Thomas | Radiologic Technologist | 166 Carolina Paradise Rd, Rutherfordton, NC 28139-8332 | 2012-04-20 |
| 1033495163 | Kenneth Fred Thomas Jr. | Physical Therapist | 1072 Market St Lowr Level, Sunbury, PA 17801-2458 | 2011-11-03 |
| 1124318811 | Kenneth N Thomas | Counselor | 3064 Penn Estates, East Stroudsburg, PA 18301-8696 | 2011-04-14 |
| 1083792071 | Kenneth C Thomas | Chiropractor | 2500 Walnut Hill Ln, Dallas, TX 75229-5609 | 2006-11-01 |
| 1114020203 | Kenneth Darrell Thomas | Dentist | 250 East 300 South, Suite 320, Salt Lake City, UT 84111 | 2006-09-06 |
| 1033132568 | Kenneth C Thomas | Counselor | Smallwood Building, 2670 Crain Highway, Suite 525, Waldorf, MD 20601 | 2006-07-25 |
| 1689626566 | Kenneth Hunt Thomas | Anesthesiology | 7311 Van Nuys Blvd, Van Nuys, CA 91405-1999 | 2006-05-17 |
| 1659361350 | Kenneth A Thomas | Chiropractor | 320 Eureka Sq, Pacifica, CA 94044-2652 | 2005-10-24 |
| Street Address |
1372 W ROBINHOOD DR SUITE D |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700183746 | Mark Edward Buchman | Dentist | 1372 W Robinhood Dr, Suite C, Stockton, CA 95207-5513 | 2011-02-25 |
| 1790993335 | James Harrold Vansicklen Jr. | Dentist | 1372 W Robinhood Dr, Ste E, Stockton, CA 95207-5513 | 2007-05-18 |
| 1144434077 | Raymond John Angeli | Dentist | 1372 W Robinhood Dr, Suite A, Stockton, CA 95207-5513 | 2007-05-10 |
| 1639290216 | Allan B Corey | Dentist | 1372 W Robinhood Dr, Ste B, Stockton, CA 95207 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1316577562 | Valley Optometry PC | Optometrist | 87 W March Ln Ste 2, Stockton, CA 95207-5731 | 2020-01-16 |
| 1871045955 | Brandon Wong | Optometrist | 3566 Bluelake Cir, Stockton, CA 95219-1747 | 2016-10-25 |
| 1891171062 | Stephen Atallah | Optometrist | 2575 Grand Canal Blvd, Stockton, CA 95207-8260 | 2015-08-10 |
| 1083021752 | Vikram Girn | Optometrist | 2571 Blossom Cir, Stockton, CA 95212-3010 | 2014-07-15 |
| 1063825156 | Timothy Ng | Optometrist | 1101 E March Ln # 0, Stockton, CA 95210-4500 | 2014-06-05 |
| 1144661497 | Cheryl Inong De La Torre | Optometrist | 136 W Fulton St, Stockton, CA 95204-3110 | 2013-07-16 |
| 1568808905 | Daniel & Max, LLC | Optometrist | 6539 Pacific Ave, Stockton, CA 95207-3717 | 2013-05-13 |
| 1497901284 | Jenee S Lee Od Inc | Optometrist | 4637 Pine Valley Cir, Stockton, CA 95219-1876 | 2008-08-12 |
| 1588841365 | Crystal I Chen | Optometrist | 36 W Yokuts Ave Ste 1, Stockton, CA 95207-5713 | 2008-01-24 |
| 1659553709 | Chukweumeka Chikwendu | Optometrist | 7743 West Ln, Suite A2, Stockton, CA 95210-3348 | 2007-11-30 |
| Find all providers in STOCKTON | ||||
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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.