Active NPI
Willow Frances Thompson, OD
- Optometrist
- Everett, WA
National Provider Identifier
1083749618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3427
- Practice address
- 10200 19TH Ave SE
Everett, WA 98208-4256 - Phone
- (425) 379-7470
- Fax
- (425) 321-0021
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3427 | WA | Primary |
Addresses
Primary practice location
10200 19TH Ave SE
Everett, WA 98208-4256
Mailing address
10200 19TH Ave SE
Everett, WA 98208-4256
Phone (425) 379-7470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021855 | Medicaid | WA | |
| 101408 | Other | WA | L & I NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3427 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pediatric Eye Care P.S. | Past | Accepting new patients | |
| Alderwood Vision Therapy and Development PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alderwood Vision Therapy and Development
- Vision Therapy Optometrist
- Lynnwood, WA
- NPI 1487462180
-
- Pediatric Optometrist
- Bellevue, WA
- NPI 1730399049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1083749618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084256",
"telephone_number": "425-379-7470",
"fax_number": "425-321-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084256",
"telephone_number": "425-379-7470",
"fax_number": "425-321-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "WILLOW",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021855",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I NUMBER",
"identifier": "101408",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.