Individual provider Active NPI

Phillip Thompson, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1063820306
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1992 Issued in KS
Practice address
11827 College Blvd
Overland Park, KS 66210-1314
Phone
(913) 663-2020
NPI assigned
Jul 30, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2014020365 MO
Optometrist 152W00000X 1992 KS Primary

Addresses

Primary practice location

11827 College Blvd
Overland Park, KS 66210-1314

Mailing address

11827 College Blvd
Overland Park, KS 66210-1314
Phone (724) 557-4171

Other practice location 1

7701 Frontage Rd
Suite A
Overland Park, KS 66204-2364
Phone (913) 648-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150413000764 KS Practitioner - Optometry 5991023541 Reassigns benefits to 1 organization
Practice locations: Overland Park, KS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Family Vision PAGroup PAC ID 9133434459, 2 clinicians

Practice addresses (Care Compare)

11827 College Blvd
Overland Park, KS 66210-1314
Phone (913) 663-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014020365MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Family Vision, P.a. Optometrist CurrentSince Jul 1, 2015 Accepting new patients

Locations

11827 College Blvd
Overland Park, KS 66210
Phone (913) 663-2020

7701 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 648-3072

8300 W 135th St
Overland Park, KS 66223
Phone (913) 402-4352

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063820306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101314",
            "telephone_number": "724-557-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11827 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101314",
            "telephone_number": "913-663-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Frontage Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042364",
            "country_code": "US",
            "telephone_number": "913-648-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PHILLIP",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2014020365",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.