DR. THOMAS P REYBURN O.D.
NPI 1205973195
Optometrist in Ada, MI

Q: What is Thomas Reyburn's NPI number?

The NPI number for Thomas Reyburn is 1205973195. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Thomas Reyburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Reyburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007

400 ADA DR SE, ADA, MI 49301(616) 676-1283(616) 676-9133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Thomas P Reyburn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS P REYBURN O.D. (NPI 1205973195) is an individual optometrist in Ada, Michigan, licensed in Michigan (4901002630) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205973195

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. THOMAS P REYBURNCredential: O.D.

Location Address400 ADA DR SEAda, MI 49301-8429

Mailing AddressPo Box 219Ada, MI 49301-0219 · (616) 676-1283 · Fax (616) 676-9133

Phone(616) 676-1283

Fax(616) 676-9133

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205973195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901002630

Definition

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.

400 ADA DR SE, Ada, MI 49301

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Other Identifiers 2

Medicare ID-Type UnspecifiedM77760001MI

Medicaid94-4140369MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Reyburn's NPI number?

The NPI number for Thomas Reyburn is 1205973195. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Thomas Reyburn located?

Thomas Reyburn practices at 400 Ada Dr SE, Ada, MI 49301. The listed phone number is (616) 676-1283.

What is Thomas Reyburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Thomas Reyburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.