Mallory Elora Thompson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5853 Issued in FL

Practice address

21275 Olean Blvd Unit 1
Port Charlotte, FL 33952-6704

Phone

(239) 466-2020

NPI assigned

Sep 9, 2020

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.22 of 100Reported as group

Quality

81.43

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mallory.thompsonod.p1@direct.theeyeassociates.nextgenshare.com
• Direct secure messaging: mallory.thompsonod.p3@direct.theeyeassociates.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Associates of Manatee, LLP

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1366483851
  Medicare reassignment Care Compare group NPD
• Eye Associates of Manatee LLP

  dba Eye Centers Of Florida

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1659091759
  NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1396350203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21275 OLEAN BLVD UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "239-466-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Evans Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019310",
            "country_code": "US",
            "telephone_number": "239-320-7342",
            "fax_number": "941-743-5158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20600 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339542209",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 S Sumter Blvd",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872339",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2529 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339506929",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MALLORY",
        "middle_name": "ELORA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston William Thomas, MD
• April Thompson, FNP
• Barbara Avalon Thompson, PT
• Gary R Thompson, DC
• Janelle Patricia Thompson, PHARMD
• Molly E Thompson, RBT
• Janesha Thornton
• Jennifer Thrall
• Judith A Tiberia, ARNP
• Grace Diana Tice, PA-C

• Optometrist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.

Verify at the official NPI Registry.