Active NPI
Thomas Mark Thompson, OPTICIAN
- Optician
- Anadarko, OK
National Provider Identifier
1306978077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 17807
- Practice address
- 216 W Central Blvd
Anadarko, OK 73005-3406 - Phone
- (405) 247-3391
- Fax
- (405) 247-3391
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 17807 | OK | Primary |
Addresses
Primary practice location
216 W Central Blvd
Anadarko, OK 73005-3406
Mailing address
216 W Central Blvd
PO Box 125
Anadarko, OK 73005-3406
Phone (405) 247-3391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17807 | OK | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306978077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 W CENTRAL BLVD",
"address_2": "PO BOX 125",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730053406",
"telephone_number": "405-247-3391",
"fax_number": "405-247-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730053406",
"telephone_number": "405-247-3391",
"fax_number": "405-247-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "THOMAS",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OK",
"license": "17807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.