Individual provider Active NPI

Jessica Deshae Thompson, OD

  • Optometrist
  • London, KY
National Provider Identifier
1114604501
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2338DT Issued in KY
Practice address
503 N Main St
London, KY 40741-1217
Phone
(606) 877-1877
Fax
(606) 878-9543
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2338DT KY Primary

Addresses

Primary practice location

503 N Main St
London, KY 40741-1217

Mailing address

503 N Main St
London, KY 40741-1217
Phone (606) 877-1877

Other practice location 1

161 Citizens Ln
Hazard, KY 41701-1352
Phone (606) 436-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230712003446 KY Practitioner - Optometry 8729448592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huffman and Huffman, PSCGroup PAC ID 5698716132, 15 clinicians

Practice addresses (Care Compare)

161 Citizens LN
Hazard, KY 41701-1352
Phone (606) 436-3313

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
83.87
Promoting interoperability
100
Improvement activities
40
Cost
76.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huffman and Huffman PSC Optometrist CurrentSince Jun 29, 2023 Accepting new patients
Huffman and Huffman, PSC Optometrist CurrentSince Jun 29, 2023 Accepting new patients

Locations

161 Citizens Ln
Hazard, KY 41701
Phone (606) 436-2020

100 Fortress Properties St
London, KY 40741

100 Fortress Properties St
Ste 1
London, KY 40741
Phone 6068771877114

503 N Main St
London, KY 40741
Phone 6068771877102

Interoperability endpoints

  • Direct secure messaging: jthompsonod@huffmanandhuffman.direct.eyemdemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1114604501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411217",
            "telephone_number": "606-877-1877",
            "fax_number": "606-878-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411217",
            "telephone_number": "606-877-1877",
            "fax_number": "606-878-9543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Citizens Ln",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417011352",
            "country_code": "US",
            "telephone_number": "606-436-2020",
            "fax_number": "606-439-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JESSICA",
        "middle_name": "DESHAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2338DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.