MEDICARE: DR. THOMAS W CUMMINGS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT1456	CO

General Provider Information

NPI Number	:	1528274305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS W CUMMINGS OD

Provider Business Mailing Address
First Line	:	180 BERYLIUM ROAD
Second Line	:
City	:	FLORISSANT
State	:	CO
Zip	:	80816
Country	:	US
Telephone Number	:	719-684-5317
Fax Number	:	719-687-9308

Provider Business Practice Location Address
First Line	:	101 C SUNDIAL DRIVE
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80863-7769
Country	:	US
Telephone Number	:	719-687-3937
Fax Number	:	719-687-9308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/28/2024

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