Active NPI
Christian Jay Thompson, O.D., F.A.A.O.
- Optometrist
- Winslow, AZ
National Provider Identifier
1013912534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002229
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 245-3732
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001678 | VA | |
| Optometrist | 152W00000X | OPT-002229 | AZ | Primary |
| Optometrist | 152W00000X | 2756 | OK | |
| Optometrist | 152W00000X | OEG003082 | PA |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
5069 S Amethyst Rd
Flagstaff, AZ 86005-6840
Phone (928) 245-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Indiana Ave
Winslow, AZ 86047-2169
500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002229 | AZ | MD | Optometrist |
| OEG003082 | PA | MD | Optometrist |
| 2756 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Dilkon Medical Center | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
Locations
500 Indiana Ave
Winslow, AZ 86047
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
-
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1013912534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5069 S AMETHYST RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860056840",
"telephone_number": "928-245-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 INDIANA AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472169",
"telephone_number": "928-245-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CHRISTIAN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "O.D., F.A.A.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001678",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002229",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2756",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.