Individual provider Active NPI

Kathryn E Thigpen, O.D.

  • Optometrist
  • Florence, AL
National Provider Identifier
1316994759
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA55TA639 Issued in AL
Practice address
201 Rosa LN
Florence, AL 35630-1770
Phone
(256) 760-7213
Fax
(256) 760-7272
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA55TA639 AL Primary

Addresses

Primary practice location

201 Rosa LN
Florence, AL 35630-1770

Mailing address

201 Rosa LN
Florence, AL 35630-1770
Phone (256) 760-7213

Other identifiers 1

IdentifierTypeStateIssuer
009930575MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090126000123 AL Practitioner - Optometry 1052475779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Eye Center, Inc.Group PAC ID 4082631874, 4 clinicians

Practice addresses (Care Compare)

506 N Main
Florence, AL 35630
Phone (256) 383-2121

711 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 766-3139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA55TA639ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Eye Center, Inc. Optometrist Current Accepting new patients
Valley Eye, PC Optometrist Past Accepting new patients

Locations

109 N Court St
Florence, AL 35630
Phone (256) 246-2959

711 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 383-2121

1112 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 246-2965

Organizations & group practices 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1316994759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301770",
            "telephone_number": "256-760-7213",
            "fax_number": "256-760-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301770",
            "telephone_number": "256-760-7213",
            "fax_number": "256-760-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA55TA639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009930575",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.