Keith M Thompson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2418 Issued in FL

Practice address

375 Kings Hwy
Punta Gorda, FL 33983-5222

Phone

(941) 625-5359

Fax

(941) 625-5420

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Paradise Eyes LLC

  • Optometrist
  • Bradenton, FL
  • NPI 1952157521
  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Port Charlotte, FL
  • NPI 1154475176
  NPD (past)
• National Vision, Inc.

  • Optician
  • Estero, FL
  • NPI 1295284008
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1023185386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TAMIAMI TRL UNIT G7A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481063",
            "telephone_number": "941-468-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 KINGS HWY",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835222",
            "telephone_number": "941-625-5359",
            "fax_number": "941-625-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "410044567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Wellness Center
• Therapy One CR
• Thomas Noone MD PA
• Justin Garland Thomas, D.O.
• Jo Ann Thompson, P.A.
• Timothy Janz MD LLC
• Todd P Mangione PLLC
• Julaine Christine Tollison, OTR/L
• Moria M Tolliver
• Brooke Nicole Tominey

• Optometrist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.