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Active NPI 1124115506 Individual Practitioner Male Practitioner

Dr. Kenneth L Thomas , OD

Optometrist • Stockton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Thomas, OD is a registered healthcare professional specializing in Optometrist in Stockton, CA. Practice services are available at 1372 W ROBINHOOD DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1372 W Robinhood Dr
Suite D

Stockton, CA 952075513

Telephone 2094774414
Fax 2094770159

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Stockton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
66 Specialists

Practicing in Stockton, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
23 23 $126.43 $121.97

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 5472T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0054720 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Raymond Angeli , DDS

Dentist - General Practice

NPI 1144434077

Doctor of Dental Surgery

NPI 1639290216
Mark Buchman

Dentist - Periodontics

NPI 1700183746
Dr. James Vansicklen , DDS

Dentist - General Practice

NPI 1790993335

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2008

Registered at 1372 W ROBINHOOD DR, SUITE D, STOCKTON, CA 952075513 (Tel: 2094774414)

📍
Updated Business Mailing Address April 03, 2008

Registered at 1372 W ROBINHOOD DR, SUITE D, STOCKTON, CA 952075513 (Tel: 2094774414)

👤
Provider Name / Credentials Updated April 03, 2008

Recorded as KENNETH THOMAS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2008

Optometrist (License #5472T in CA)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124115506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: April 03, 2008
Sole Proprietor: Yes

Mailing Address

1372 W Robinhood Dr, Suite D

Stockton, CA 952075513

Phone: 2094774414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.