Active NPI
Allan James Thompson Jr., M.D.
- Ophthalmology Physician
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9491
- Practice address
- 109 Fleetwood Dr Ste B
Easley, SC 29640-2019 - Phone
- (864) 522-3970
- Fax
- (864) 522-3975
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9491 | SC | Primary |
Addresses
Primary practice location
109 Fleetwood Dr Ste B
Easley, SC 29640-2019
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6303
Other practice location 1
104 Simpson St
Greenville, SC 29605-4413
Phone (864) 522-3900
Other practice location 2
104 Simpson St
Greenville, SC 29605-4413
Phone (864) 522-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094917 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Easley Eye Associates, P.a. | Ophthalmology | Past | Accepting new patients |
| Clemson Eye, PA | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
109 Fleetwood Dr
#B
Easley, SC 29640
Phone (864) 522-3970
104 Simpson St
Greenville, SC 29605
Phone (864) 236-9888
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
Interoperability endpoints
- allan.thompson.p1@direct.clemsoneye.nextgenshare.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Optometrist
- Clemson, SC
- NPI 1790939254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396722005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FLEETWOOD DR STE B",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402019",
"telephone_number": "864-522-3970",
"fax_number": "864-522-3975"
}
],
"practiceLocations": [
{
"address_1": "104 Simpson St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054413",
"country_code": "US",
"telephone_number": "864-522-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Simpson St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054413",
"country_code": "US",
"telephone_number": "864-522-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALLAN",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "9491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094917",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.