Individual provider Active NPI

Kristofer Kyle Thornton, O.D.

  • Optometrist
  • Marshall, TX
National Provider Identifier
1073712485
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7078T Issued in TX
Practice address
2306 E End Blvd S
Marshall, TX 75672-7469
Phone
(903) 938-2555
NPI assigned
Jul 16, 2007
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7078T TX Primary

Addresses

Primary practice location

2306 E End Blvd S
Marshall, TX 75672-7469

Mailing address

2306 E End Blvd S
Marshall, TX 75672-7469
Phone (903) 938-2555

Other practice location 1

105 Cottage Rd
Carthage, TX 75633-1507
Phone (903) 693-7745

Other practice location 2

1821 Judson Rd
Longview, TX 75605-4710
Phone (903) 758-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090522000126 TX Practitioner - Optometry 4284783200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ward Eye Associates PCGroup PAC ID 7911308283, 6 clinicians

Practice addresses (Care Compare)

2306 E End Blvd S
Ward Eye Associates
Marshall, TX 75672-7469
Phone (903) 938-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7078TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
Ward Eye Associates PC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
Longview Eye Associates. PA Optometrist CurrentSince Mar 1, 2025 Accepting new patients

Locations

105 Cottage Rd
Carthage, TX 75633
Phone (800) 730-4915

1821 Judson Rd
Longview, TX 75605
Phone (903) 758-8832

2304 Judson Rd
Ste B
Longview, TX 75605
Phone (903) 758-9090

2306 E End Blvd S
Marshall, TX 75672
Phone (903) 938-2555

2001 W Ferguson Rd
Ste 2020
Mt Pleasant, TX 75455
Phone (903) 572-1991

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1073712485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TX",
            "postal_code": "756331507",
            "country_code": "US",
            "telephone_number": "903-693-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Judson Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756054710",
            "country_code": "US",
            "telephone_number": "903-758-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KRISTOFER",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7078T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.