Individual provider Active NPI

Elizabeth Heaston Thompson, O.D.

  • Optometrist
  • Richland, WA
National Provider Identifier
1295756922
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003815 Issued in WA
Practice address
1321 Aaron Dr
Richland, WA 99352-4678
Phone
(509) 943-3171
Fax
(509) 946-0905
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003815 WA Primary

Addresses

Primary practice location

1321 Aaron Dr
Richland, WA 99352-4678

Mailing address

1321 Aaron Dr
P.O. Box 610
Richland, WA 99352-4678
Phone (509) 943-3171

Other identifiers 6

IdentifierTypeStateIssuer
P00082765OtherRAILROAD MEDICARE
G319211100OtherWAMEDICARE
BLUE CROSS BLUE SHIEOther8890HE
11102OtherGROUP HEALTH
0174418OtherWAWA LABOR AND INDUSTRY
2029932MedicaidWA

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
I20120222001019 WA Practitioner - Optometry 1052579992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heaston Vision Clinic Inc PSGroup PAC ID 0941199285, 4 clinicians

Practice addresses (Care Compare)

1321 Aaron Dr
Richland, WA 99352-4678
Phone (509) 943-3171

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1295756922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 AARON DR",
            "address_2": "P.O. BOX 610",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524678",
            "telephone_number": "509-943-3171",
            "fax_number": "509-946-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 AARON DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524678",
            "telephone_number": "509-943-3171",
            "fax_number": "509-946-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "HEASTON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00082765",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G319211100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8890HE",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "11102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR AND INDUSTRY",
            "identifier": "0174418",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029932",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.