Active NPI
Michele Desjardins Thompson, O.D.
- Optometrist
- Staten Island, NY
National Provider Identifier
1245582154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 005282
- Practice address
- 4338 Amboy Rd
Staten Island, NY 10312-3820 - Phone
- (718) 494-1319
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 005282 | NY | Primary |
| Optometrist | 152W00000X | 27TO00089800 | NJ | |
| Optometrist | 152W00000X | 27OA00541000 | NJ | |
| Optometrist | 152W00000X | 27OM00090800 | NJ |
Addresses
Primary practice location
4338 Amboy Rd
Staten Island, NY 10312-3820
Mailing address
101 W River Rd
Rumson, NJ 07760-1124
Phone (732) 345-0247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 E Front St
Red Bank, NJ 07701-1974
Phone (732) 741-0170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OM00090800 | NJ | MD | Optometrist |
| 27TO00089800 | NJ | MD | Optometrist |
| 005282 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin M. Curtis OD PC | Optometrist | Current | Accepting new patients |
| Richmond Optometry PC | Optometrist | Past | Accepting new patients |
| The Perfect Eye Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Red Bank, NJ
- NPI 1962680231
-
- Optometrist
- Staten Island, NY
- NPI 1447174958
-
- Optician
- Staten Island, NY
- NPI 1487759668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1245582154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W RIVER RD",
"city": "RUMSON",
"state": "NJ",
"postal_code": "077601124",
"telephone_number": "732-345-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4338 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103123820",
"telephone_number": "718-494-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MICHELE",
"middle_name": "DESJARDINS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "005282",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27TO00089800",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00541000",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00090800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.