DR. THOMAS A MACK (NPI# 1396817060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396817060 |
| Entity Type | Individual |
| Full Name | DR. THOMAS A MACK |
| Credential | OPTOMETRIST |
| Practice Address |
7701 Frontage Rd Suite A Overland Park KS 66204-2364 |
| Practice Telephone | 9136483072 |
| Practice Fax Number | 9136486597 |
| Mailing Telephone | 9136483072 |
| Mailing Fax Number | 9136486597 |
| Enumeration Date | 2006-11-15 |
| 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 | KS1344 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200002230A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422853 | Thomas Patrick Mack | Dentist | 63 Bay Tree Ln, Los Altos, CA 94022-4624 | 2007-02-09 |
| 1689644726 | Thomas C Mack | Chiropractor | 116 W Smith St, Corry, PA 16407-1558 | 2006-01-23 |
| 1548265689 | Thomas J Mack | Podiatrist | 6721 West 40th Street, Stickney, IL 60402-4171 | 2005-06-16 |
| 1881251783 | Thomas Criswell Mack | Psychologist | 421 E Market St, Iowa City, IA 52245-2628 | 2019-05-26 |
| 1508129362 | Thomas Mack | Social Worker | 528 N Main St, Providence, RI 02904-5757 | 2012-06-18 |
| 1386912129 | Thomas Mcculloch Mack | Internal Medicine | 1441 Eastlake Ave, Rm 4453, Los Angeles, CA 90089-0112 | 2011-12-08 |
| 1770897167 | Thomas Gerard Mack | Case Manager/Care Coordinator | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2010-07-28 |
| 1659474013 | Thomas Michael Mack | Dentist | 17215 N 72nd Dr, Ste A100, Glendale, AZ 85308 | 2006-09-07 |
| 1417987470 | Thomas Val Mack | General Practice | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2006-07-04 |
| Street Address |
7701 FRONTAGE RD SUITE A |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66204-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003833419 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2006-07-16 |
| 1558849992 | Marshall B Berry | Pharmacist | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2018-07-28 |
| 1962938159 | Bashir Alew | Pharmacist | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2017-05-07 |
| 1336522887 | Thompson Family Vision, P.a. | Optometrist | 7701 Frontage Rd, Suite A, Overland Park, KS 66204-2364 | 2015-07-01 |
| 1356742621 | Angela J Liber | Pharmacist | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2014-09-05 |
| 1548678311 | Michael Potter | Pharmacist | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2014-07-24 |
| 1962819128 | Maria D Pearce | Pharmacist | 7701 Frontage Rd, Walmart Pharmacy, Overland Park, KS 66204-2364 | 2014-07-18 |
| 1013132943 | Family Eyecare of Overland Park, P.a. | Optometrist | 7701 Frontage Rd, Suite A, Overland Park, KS 66204-2364 | 2007-04-16 |
| 1902986102 | Wal-mart Stores, Inc. | Technician/Technologist | 7701 Frontage Rd, Overland Park, KS 66204-2364 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| 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 |
|---|---|---|---|---|
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1356730766 | Blue Valley Vision of Overland Park LLC | Optometrist | 8007 W 151st St, Overland Park, KS 66223-2115 | 2015-01-22 |
| 1912328196 | Sukaromya Vision LLC | Optometrist | 9701 Metcalf Ave, Overland Park, KS 66212-2219 | 2013-12-14 |
| 1104264787 | Your Vision | Optometrist | 8641 W 135th St, Overland Park, KS 66223-1215 | 2013-06-05 |
| 1992954531 | Andrea Dawn Buchbaum | Optometrist | 10120 W. 119th Street, Overland Park, KS 66213-1600 | 2008-09-18 |
| 1649435710 | Gregor Eye Care, Pa | Optometrist | 15100 Metcalf Ave Ste 101, Overland Park, KS 66223-2899 | 2008-07-28 |
| 1164681409 | Four Eyes Optical, Lc | Optometrist | 11232 W 135th St, Overland Park, KS 66221-9800 | 2008-06-02 |
| 1649463621 | Jayme R Fose | Optometrist | 8007 W 151st St Ste 102, Overland Park, KS 66223 | 2007-08-22 |
| 1215133772 | Cynthia Yin, O.d., L.L.C. | Optometrist | 7127 W 95th St, Overland Park, KS 66212-2245 | 2007-06-22 |
| 1457486375 | Burlingame & Mock Vision Associates, Inc | Optometrist | 11500 W. 119th Street, Overland Park, KS 66213-2002 | 2007-02-22 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66204 |
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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.