Paul Thompson OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

391 Issued in NV

Legal business name

PAUL THOMPSON OD PC

Practice address

4505 W Charleston Blvd
Las Vegas, NV 89102-1501

Phone

(702) 822-2202

Fax

(702) 822-2274

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jon Thompson, ODNPI 1104839026

Title

Optometrist

Phone

(702) 822-2202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Jon Thompson, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1104839026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043349954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89126",
            "telephone_number": "702-822-2202",
            "fax_number": "702-822-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021501",
            "telephone_number": "702-822-2202",
            "fax_number": "702-822-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL THOMPSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-822-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J. Park PLLC
• Paul L Hamor Jr Inc a Professional Corporation
• Paul Nguyen MD LTD
• Paul P Chao Professional Corporation
• Paul Q. Reynolds, M.D., PLLC
• Amanpreet Singh Paul, PHYSICIAN ASSISTANT
• Ami H Paul
• Conner Paul, DMD
• Dionne Paul
• Jonathan Paul

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.