Individual provider Active NPI

Anna Thompson, O.D.

  • Optometrist
  • Papillion, NE
National Provider Identifier
1225326945
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1449 Issued in NE
Practice address
9851 S 71St PLZ
Papillion, NE 68133
Phone
(402) 686-2396
Fax
(402) 339-9804
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 1449 NE
Optometrist 152W00000X 1449 NE Primary

Addresses

Primary practice location

9851 S 71St PLZ
Papillion, NE 68133

Mailing address

8424 S 160TH St
Omaha, NE 68136-1336
Phone (402) 310-4102

Other practice location 1

6005 Maple St Ste A
Omaha, NE 68104-4195
Phone (402) 382-6236

Other identifiers 1

IdentifierTypeStateIssuer
47082635804MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160725002909 NE Practitioner - Optometry 1658687694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Maple St
Suite a
Omaha, NE 68104-4195
Phone (402) 382-6236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2871OKMDProfessional Counselor
1449NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes Optometry, LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

6005 Maple St
Ste A
Omaha, NE 68104
Phone (402) 382-6236

Organizations & group practices 1

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1225326945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 S 160TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361336",
            "telephone_number": "402-310-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S 71ST PLZ",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68133",
            "telephone_number": "402-686-2396",
            "fax_number": "402-339-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Maple St Ste A",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681044195",
            "country_code": "US",
            "telephone_number": "402-382-6236",
            "fax_number": "402-382-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NE",
            "license": "1449",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082635804",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.