Individual provider Active NPI

Larry D Thompson, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1033138631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1775 Issued in WA
Practice address
4750 N Division St
Ste. 205
Spokane, WA 99207-1402
Phone
(509) 482-3100
Fax
(509) 482-0680
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1775 WA Primary

Addresses

Primary practice location

4750 N Division St
Ste. 205
Spokane, WA 99207-1402

Mailing address

4750 N Division St
Ste. 205
Spokane, WA 99207-1402
Phone (509) 482-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20120113000210 WA Practitioner - Optometry 2365619426 Reassigns benefits to 1 organization
Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Eye Care LLCGroup PAC ID 5890044135, 3 clinicians

Practice addresses (Care Compare)

7808 N Division St
Suite 2
Spokane, WA 99208-6780
Phone (509) 795-2289

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1775WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Eye Care LLC Optometrist CurrentSince Jul 23, 2022 Accepting new patients

Locations

7808 N Division St
Ste 2
Spokane, WA 99208
Phone (509) 795-2289

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033138631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST",
            "address_2": "STE. 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071402",
            "telephone_number": "509-482-3100",
            "fax_number": "509-482-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N DIVISION ST",
            "address_2": "STE. 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071402",
            "telephone_number": "509-482-3100",
            "fax_number": "509-482-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.