Provider Demographics
NPI:1922129865
Name:THOMAS S TOOMA M D A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:THOMAS S TOOMA M D A PROFESSIONAL CORPORATION
Other - Org Name:NVISION EYE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOOMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-854-7400
Mailing Address - Street 1:PO BOX 102376
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91189-2376
Mailing Address - Country:US
Mailing Address - Phone:949-688-6205
Mailing Address - Fax:949-688-6205
Practice Address - Street 1:4220 VON KARMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2056
Practice Address - Country:US
Practice Address - Phone:492-847-4289
Practice Address - Fax:949-854-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 207W00000X
CAG42262207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6160690001Medicare NSC
CAA48887Medicare UPIN