Charlesetta Maria Thompson

Primary specialty

OcularistTaxonomy code 156FX1700X

Practice address

229 NW 9TH St Ste 107
Oklahoma City, OK 73102-2619

Phone

(405) 595-3226

Fax

(405) 600-6296

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Specialty Facial Prosthetics LLC

  • Customized Equipment (DME)
  • Oklahoma City, OK
  • NPI 1760963276
  NPD (past) Authorized official
• La Fuente Specialty Prosthetics,LLC

  • Customized Equipment (DME)
  • Oklahoma City, OK
  • NPI 1851101307
  NPD
• La Fuente Specialty Prosthetics,LLC

  • Customized Equipment (DME)
  • Brandon, FL
  • NPI 1790595254
  NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1174186191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NW 9TH ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022619",
            "telephone_number": "405-595-3226",
            "fax_number": "405-600-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NW 9TH ST STE 107",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022619",
            "telephone_number": "405-595-3226",
            "fax_number": "405-600-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLESETTA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D Thompson, MD
• Bryan Nicholas Thompson
• Carole Simpson Thompson, MED.
• Ceirra Rachae Thompson
• Chad Thompson
• Chris Thompson
• Christabel Thompson, MD
• Christopher Thompson
• Christopher L Thompson, MD
• Cielo Thompson

• Technician/Technologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Technician/Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.