DR. THOMAS B SOUDERS (NPI# 1790776847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776847 |
| Entity Type | Individual |
| Full Name | DR. THOMAS B SOUDERS |
| Credential | M.D. |
| Practice Address |
1802 Papermill Rd Wyomissing PA 19610-1100 |
| Practice Telephone | 6103720712 |
| Practice Fax Number | 6103766968 |
| Mailing Telephone | 6103720712 |
| Mailing Fax Number | 6103766968 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD029541L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 01389702 | 01 |
| PA | AETNA | 4338991 | 01 |
| PA | 0006827150001 | 05 | |
| PA | KEYSTONE HEALTH EAST | 0019735000 | 01 |
| PA | HIGHMARK BLUE SHIELD | 018743 | 01 |
| Street Address |
1802 PAPERMILL RD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028624 | Domenic C Izzo Jr. | Ophthalmology | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2005-10-26 |
| 1952505695 | Berks Eye Physicians & Surgeons, Ltd | Eyewear Supplier (Equipment, not the service) | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2007-06-14 |
| 1548221302 | Berks Eye Physicians & Surgeons Ltd | Optometrist | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2006-03-31 |
| 1043201106 | Peter D Calder | Ophthalmology | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2005-10-28 |
| 1285624684 | Francisco L Tellez | Ophthalmology | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295938603 | Christina Ohnsman Md PC | Ophthalmology | 1991 State Hill Road, Suite 200, Wyomissing, PA 19610 | 2007-06-06 |
| 1487634143 | Adam J Altman | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2006-01-19 |
| 1225028624 | Domenic C Izzo Jr. | Ophthalmology | 1802 Papermill Rd, Wyomissing, PA 19610-1100 | 2005-10-26 |
| 1598318800 | Rachel Simpson | Ophthalmology | 1901 Ridgewood Ave, Wyomissing, PA 19610-1231 | 2019-07-17 |
| 1740693373 | Christina Marie Lippe | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2014-06-11 |
| 1851686331 | Anastasia Traband | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2011-06-13 |
| 1538491311 | Michael P Smith | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2010-02-04 |
| 1720219454 | Abhishek Kumar Nemani | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-07-29 |
| 1740417252 | Kevin J Shah | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-06-11 |
| 1073774774 | Mehul Harish Nagarsheth | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2008-06-24 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
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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.