Individual provider Active NPI

Laura Anne Thompson, OD

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1184708588
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2186 Issued in TN
Practice address
1210 Premier Dr Ste 110
Chattanooga, TN 37421-3747
Phone
(423) 385-2020
Fax
(423) 385-2021
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 2186 TN Primary

Addresses

Primary practice location

1210 Premier Dr Ste 110
Chattanooga, TN 37421-3747

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other practice location 1

2700 Keith St NW
Ste 5
Cleveland, TN 37312-3765
Phone (423) 339-9937

Other identifiers 4

IdentifierTypeStateIssuer
28264OtherUNITED HEALTH CARE
6036108OtherBCBS
3943556MedicaidTN
100039447OtherCARITEN PHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090616000840 TN Practitioner - Optometry 8123178977 Reassigns benefits to 1 organization
Practice locations: Cleveland, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

1210 Premier Dr
Suite 110
Chattanooga, TN 37421-3747
Phone (423) 385-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC CurrentSince Jan 1, 2023 Accepting new patients
Intouch Eye Care LLC Optometrist Current Accepting new patients
Hamilton Village Eye Care Optometrist PastSince Jun 15, 2002 Accepting new patients
In Touch Optical Inc Past Accepting new patients

Locations

1210 Premier Dr
Ste 110
Chattanooga, TN 37421
Phone (423) 265-1651

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

2700 Keith St NW
Ste 5
Cleveland, TN 37312
Phone (423) 339-9937

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1184708588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PREMIER DR STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213747",
            "telephone_number": "423-385-2020",
            "fax_number": "423-385-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Keith St NW",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373123765",
            "country_code": "US",
            "telephone_number": "423-339-9937",
            "fax_number": "423-399-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "28264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6036108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943556",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN PHP",
            "identifier": "100039447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.