Provider Demographics
NPI:1528274305
Name:CUMMINGS, THOMAS W (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:180 BERYLIUM ROAD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816
Mailing Address - Country:US
Mailing Address - Phone:719-684-5317
Mailing Address - Fax:719-687-9308
Practice Address - Street 1:101 C SUNDIAL DRIVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-7769
Practice Address - Country:US
Practice Address - Phone:719-687-3937
Practice Address - Fax:719-687-9308
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COOPT1456152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0853020001Medicare NSC
C43323Medicare PIN