Individual provider Active NPI

Sykes Thompson, OD

  • Optometrist
  • Harrisburg, IL
National Provider Identifier
1063145647
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011639 Issued in IL
Practice address
960 S Commercial St
Harrisburg, IL 62946-2637
Phone
(618) 253-7057
Fax
(618) 252-1632
NPI assigned
Jul 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011639 IL Primary

Addresses

Primary practice location

960 S Commercial St
Harrisburg, IL 62946-2637

Mailing address

960 S Commercial St
Harrisburg, IL 62946-2637
Phone (618) 253-7057

Other practice location 1

901 S Commercial St
Harrisburg, IL 62946-2640
Phone (618) 253-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220812000831 IL Practitioner - Optometry 7113300898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eubanks & Daugherty, LLC Optometrist CurrentSince Jun 30, 2022 Accepting new patients
Thompson Eyecare Optometrist CurrentSince May 15, 2026 Accepting new patients
Gregg Eubanks OD Optometrist Past Accepting new patients
Clint T Taylor OD LLC Optometrist Past Accepting new patients

Locations

960 S Commercial St
Harrisburg, IL 62946
Phone (618) 253-7057

607 S Commercial St
Ste 1
Harrisburg, IL 62946
Phone (618) 926-2285

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 S Commercial St
Suite 1
Harrisburg, IL 62946-2349
Phone (618) 217-1201

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
83.76 of 100Reported as group
Quality
76.09
Improvement activities
40
Cost
77.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery120

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1063145647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462637",
            "telephone_number": "618-253-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462637",
            "telephone_number": "618-253-7057",
            "fax_number": "618-252-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S Commercial St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462640",
            "country_code": "US",
            "telephone_number": "618-253-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SYKES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-10-07",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

Verify at the official NPI Registry.