Kristen M Thompson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5107 Issued in OH

Practice address

26 South Urbana St.
South Vienna, OH 45369-0000

Phone

(937) 568-7200

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cross Roads Eye Care LLC

  • Optometrist
  • South Vienna, OH
  • NPI 1811150196
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1225053762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SOUTH URBANA ST.",
            "address_2": "PO BOX 190",
            "city": "SOUTH VIENNA",
            "state": "OH",
            "postal_code": "453690000",
            "telephone_number": "937-568-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SOUTH URBANA ST.",
            "city": "SOUTH VIENNA",
            "state": "OH",
            "postal_code": "453690000",
            "telephone_number": "937-568-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANEHEM",
            "identifier": "000000330233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Dee Shoup
• South Vienna Family Dental
• South Vienna Family Dental, Irfan Khan DDS, LLC (South Vienna Family Dental)
• South Vienna Group Homes, Inc. (Vienna Meadows)
• Hayley Suchland
• Tuttle Home Health Care
• Vienna Care Center, Inc. (Vienna Care Center)
• Vienna Enterprises Inc (Sharonview Nursing Home)
• John K Waite, LPCC
• Lucinda Gail Yeagle, LPN

• Optometrist in South Vienna, OH
• Providers in South Vienna, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.