DR. THOMAS J BALDA OD
NPI 1396820858
Optometrist in Lake Zurich, IL
About Dr. Thomas J Balda Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS J BALDA OD (NPI 1396820858) is an individual optometrist in Lake Zurich, Illinois, licensed in Missouri (2024041934) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gravois Mills, and is a graduate of Illinois College Of Optometry At Chicago (1993).
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas J Balda Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Balda's NPI number?
The NPI number for Thomas Balda is 1396820858. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Thomas Balda located?
Thomas Balda practices at 950 W Main St Suite 125, Lake Zurich, IL 60047. The listed phone number is (847) 726-2020.
What is Thomas Balda's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Thomas Balda enrolled in Medicare?
Yes. Thomas Balda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Thomas Balda accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thomas Balda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thomas Balda was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
