CMS-1500 Box 24J / 33a • NPI
1336556893
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
136 E GRAND RIVER AVE, FOWLERVILLE, MI, 48836
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336556893 (TOM LAVERN HALL, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1336556893)
Medicare Beneficiaries
69
Total Billed Services
116
Distinct CPT/HCPCS Codes
18
Medicare Allowed Total
$10,696.24
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92134 | Imaging of retina | 11 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 39 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Latanoprost Latanoprost | 25 | <11 |
| Restasis Cyclosporine | 11 | <11 |
| Tobramycin Tobramycin | 11 | 11 |
| Xiidra Lifitegrast | 16 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336556893 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TOM LAVERN HALL, OD |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: 152W00000X (Optometrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 136 E GRAND RIVER AVE, FOWLERVILLE, MI, 48836 |
| Practice Telephone / Fax | Tel: (517) 223-9988 | Fax: (517) 223-9071 |
| Administrative Mailing Address | 136 E GRAND RIVER AVE, FOWLERVILLE, MI, 48836-5136 |
| Enumeration & Last Sync | Enumerated: 2014-07-16 | CMS Record Updated: 2018-10-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (152W00000X)
What Does Taxonomy Code 152W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TOM LAVERN HALL, OD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
152WC0802X — Optometrist, Corneal and Contact ManagementPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management | State: MI | License: 4901004859 | Primary: Secondary |
152WP0200X — Optometrist, PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: MI | License: 4901004859 | Primary: Secondary |
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: MI | License: 4901004859 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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