DR. JEFFREY R THOMAS (NPI# 1487685988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487685988 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY R THOMAS |
| Credential | O.D, |
| Practice Address |
2305 30th Ave Kenosha WI 53144-1411 |
| Mailing Address |
2305 30th. Avenue Kenosha WI 53144 |
| Practice Telephone | 2625972020 |
| Practice Fax Number | 2625975452 |
| Mailing Telephone | 2625972020 |
| Mailing Fax Number | 2625975452 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
WI2152 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019408 | Jeffrey Thomas | Counselor | 8624 Hogan Rd, Temple, TX 76502-5194 | 2015-04-02 |
| 1225436447 | Jeffrey Franklin Thomas | Counselor | 2300 Beasley Drive, Doctors Park 6a, Greenville, NC 27834 | 2014-12-22 |
| 1336578137 | Jeffrey Thomas | Driver | 317 Crowley Rd, Columbus, OH 43207-3879 | 2013-11-02 |
| 1366737090 | Jeffrey J Thomas | Counselor | 1814 Ne 101st Ave, Portland, OR 97220-3848 | 2011-06-10 |
| 1003985383 | Jeffrey Thomas | Physical Therapist | 8230 Hazelbrand Rd Ne, Suite A, Covington, GA 30014-1502 | 2006-11-08 |
| 1780793588 | Jeffrey Ray Thomas | Dentist | 301 Jewett, Marshall, MN 56258 | 2006-08-29 |
| 1790793768 | Jeffrey Eric Thomas | Social Worker | 1318 Beacon Street #5, Brookline, MA 02446 | 2006-08-04 |
| 1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
| 1215935531 | Jeffrey J Thomas | Family Medicine | 8401 Constitution Ave Ne, Suite 150, Albuquerque, NM 87110-7604 | 2005-07-11 |
| 1457971509 | Jeffrey A Thomas Jr. | Student in an Organized Health Care Education/Training Program | 3959 Broadway, New York, NY 10032-1559 | 2020-04-19 |
| Street Address |
2305 30TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992996 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2018-12-05 |
| 1891225157 | Ann Drechsler | Social Worker | 2305 30th Ave, Kenosha, WI 53144-1411 | 2017-06-19 |
| 1831489269 | Erin T Mottinger | Social Worker | 2305 30th Ave, Kenosha, WI 53143 | 2011-04-19 |
| 1881874667 | Thomas Eye Care S.c. | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2007-11-08 |
| 1972720647 | Malone Chiropractic LLC | Chiropractor | 2305 30th Ave, Suite 2, Kenosha, WI 53144-1411 | 2007-04-20 |
| 1821021445 | Donna M Brunello | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508053083 | Romanak Vision Inc. | Optometrist | 7323 60th Ave, Kenosha, WI 53142-3542 | 2007-09-28 |
| 1821021445 | Donna M Brunello | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487124 | James L Healy | Optometrist | 1113 17th Ave, Monroe, WI 53566-2063 | 2006-11-28 |
| 1265513410 | Eye Care Centers of Wisconsin, S.c. | Optometrist | 355 N Peters Ave Ste 1, Fond Du Lac, WI 54935-8115 | 2006-10-17 |
| 1982705810 | Chad R Overman | Optometrist | 2401 Highway 14 East, Richland Center, WI 53581 | 2006-09-25 |
| 1407817752 | Mark F. Cook | Optometrist | 412 Highland Blvd, Johnson Creek, WI 53038-9504 | 2006-03-28 |
| 1215996723 | Steven Lee Nottleson | Optometrist | 1545 Main St, Marinette, WI 54143-1334 | 2006-03-22 |
| 1063487072 | Kerry Lee Griebenow | Optometrist | 105 Northridge Dr, New London, WI 54961-2703 | 2006-02-22 |
| 1518949056 | Vision Clinic Dr. Savin & Associates | Optometrist | 1421 Washington Ave, Racine, WI 53403-2254 | 2005-11-18 |
| 1215182563 | Oscar Ortiz | Optometrist | 1 W Towne Mall, Madison, WI 53719-1019 | 2008-11-28 |
| 1235352667 | Lindman Eye Care LLC | Optometrist | 2644 N 8th St, Sheboygan, WI 53083-4921 | 2007-04-11 |
| 1306966379 | Maria Martha Steck | Optometrist | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2007-03-30 |
| Find all providers with the same taxonomy | ||||
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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.