Individual provider Active NPI

Kathryn S Thompson, OD

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1265501431
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
911886445 Issued in WA
Practice address
2701 184TH St SW
Suite 109
Lynnwood, WA 98037-4739
Phone
(425) 712-8443
Fax
(425) 712-0988
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 911886445 WA Primary

Addresses

Primary practice location

2701 184TH St SW
Suite 109
Lynnwood, WA 98037-4739

Mailing address

2701 184TH St SW
Ste 109
Lynnwood, WA 98037-4739
Phone (425) 712-8443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120404000074 WA Practitioner - Optometry 0042470742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Practice addresses (Care Compare)

2701 184TH St SW
Lynnwood, WA 98037-4739
Phone (425) 712-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3381WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephen Nevett and Associates, P.C. Optometrist CurrentSince Sep 8, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Dr. Mai X. Nguyen & Associates, PLLC Optometrist Past Accepting new patients

Locations

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

2701 184th St SW
Lynnwood, WA 98037
Phone (425) 712-8443

2701 184th St SW
Ste 109
Lynnwood, WA 98037
Phone (425) 712-8443

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1265501431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 184TH ST SW",
            "address_2": "STE 109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374739",
            "telephone_number": "425-712-8443",
            "fax_number": "425-712-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 184TH ST SW",
            "address_2": "SUITE 109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374739",
            "telephone_number": "425-712-8443",
            "fax_number": "425-712-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "911886445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.