Active NPI
Kirk Thompson, OD
- Optometrist
- Port Angeles, WA
National Provider Identifier
1053423640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1267TX
- Practice address
- 811 Georgiana St
Port Angeles, WA 98362-3511 - Phone
- (360) 452-7661
- Fax
- (360) 417-0254
- NPI assigned
- Aug 31, 2006
- 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 | 1267TX | WA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1267TX | WA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1267TX | WA | |
| Pediatric Optometrist | 152WP0200X | 1267TX | WA |
Addresses
Primary practice location
811 Georgiana St
Port Angeles, WA 98362-3511
Mailing address
811 Georgiana St
Port Angeles, WA 98362-3511
Phone (360) 452-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 88.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1267TX | WA | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1053423640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GEORGIANA ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623511",
"telephone_number": "360-452-7661",
"fax_number": "360-417-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GEORGIANA ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623511",
"telephone_number": "360-452-7661",
"fax_number": "360-417-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KIRK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1267TX",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WA",
"license": "1267TX",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "WA",
"license": "1267TX",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WA",
"license": "1267TX",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.