Individual provider Active NPI

Rhonda Elisha Thompson, OD

  • Optometrist
  • Troy, MI
National Provider Identifier
1093940066
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005098 Issued in MI
Practice address
735 John R Rd
Troy, MI 48083
Phone
(248) 951-0000
Fax
(248) 528-4040
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 OPT2516 GA
Optometrist 152W00000X 4901005098 MI Primary

Addresses

Primary practice location

735 John R Rd
Troy, MI 48083

Mailing address

735 John R Rd Ste 150
Troy, MI 48083-5859
Phone (248) 951-0000

Other identifiers 2

IdentifierTypeStateIssuer
1093940066MedicaidMI
650804474OtherGAAPPLIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180104001135 MI Practitioner - Optometry 3173674413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OPT2516GAMDOptometrist
4901005098MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Dec 18, 2017 Accepting new patients
Pcor, LLC Optometrist CurrentSince Dec 18, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
Gulf Coast Optometry, PA PastSince Apr 28, 2020 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

3271 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-0121

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

400 Renaissance Ctr
Ste 140
Detroit, MI 48243

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

4281 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4000

15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401

1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380

516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616

504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

2025 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 651-3937

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: rthompson516222@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1093940066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-951-0000",
            "fax_number": "248-528-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-951-0000",
            "fax_number": "248-528-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RHONDA",
        "middle_name": "ELISHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2516",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093940066",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED",
            "identifier": "650804474",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.