Individual provider Active NPI

Rachel Thompson

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1073256525
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3202 Issued in OK
Practice address
1201 Kiowa St Ste a
Ardmore, OK 73401-2246
Phone
(580) 223-8585
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3202 OK Primary

Addresses

Primary practice location

1201 Kiowa St Ste a
Ardmore, OK 73401-2246

Mailing address

1201 Kiowa St Ste a
Ardmore, OK 73401-2246
Phone (580) 223-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20231003003969 OK Practitioner - Optometry 5496115552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reed Eye Care Associates CompanyGroup PAC ID 5799035101, 3 clinicians

Practice addresses (Care Compare)

1201 Kiowa St
Suite a
Ardmore, OK 73401-2246
Phone (580) 223-8585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Eye Care Associates Company Optometrist CurrentSince Jul 18, 2023 Accepting new patients
RLP Eyecare PC Optometrist PastSince Jul 2, 2023 Accepting new patients

Locations

1201 Kiowa St
#A
Ardmore, OK 73401
Phone (580) 223-8585

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1073256525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012246",
            "telephone_number": "580-223-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012246",
            "telephone_number": "580-223-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.