TRUSSELL L THANE
NPI 1609838101
Optometrist in Stamford, TX

Q: What is Trussell Thane's NPI number?

The NPI number for Trussell Thane is 1609838101. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Trussell Thane'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 Trussell Thane was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 03, 2006PECOS Enrolled

1501 COLUMBIA ST, STAMFORD, TX 79553(325) 773-2083(325) 773-2526 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Trussell L Thane NPPES

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

TRUSSELL L THANE (NPI 1609838101) is an individual optometrist in Stamford, Texas, licensed in Texas (04720TG) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609838101

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTRUSSELL L THANE

Location Address1501 COLUMBIA STStamford, TX 79553-6882

Mailing Address1501 Columbia StStamford, TX 79553-6882 · (325) 773-2083 · Fax (325) 773-2526

Phone(325) 773-2083

Fax(325) 773-2526

Sole ProprietorYes

Enumeration DateApril 3, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1609838101 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 TX · 04720TG

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.

1501 COLUMBIA ST, Stamford, TX 79553

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Other Identifiers 4

Medicare UPINU32283TX

Medicare NSC0871620001TX

Medicare PIN00E04TTX

Medicaid126535701TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trussell L Thane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRUSSELL THANE OD

Eyewear Supplier

1501 COLUMBIA ST
STAMFORD, TX 79553

Jones County (325) 773-2083

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 Trussell Thane's NPI number?

The NPI number for Trussell Thane is 1609838101. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Trussell Thane located?

Trussell Thane practices at 1501 Columbia St, Stamford, TX 79553. The listed phone number is (325) 773-2083.

What is Trussell Thane's specialty?

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

Is Trussell Thane enrolled in Medicare?

Yes. Trussell Thane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trussell Thane was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.