Teresa Ann Thornberg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00032029 Issued in WA

Practice address

1130 N Forest St
Bellingham, WA 98225-5120

Phone

(360) 647-7750

Fax

(360) 647-4290

NPI assigned

Nov 22, 2005

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

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bellingham Bay Ophthalmology PLLC

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1588649008
  Medicare reassignment NPD
• Northwest Eye Clinic Inc., P.S.

  dba Northwest Eye Clinic Optical Shop

  • Eyewear Supplier
  • Bellingham, WA
  • NPI 1992880553
  NPD (past)
• Northwest Eye Clinic Inc., PS

  • Medical Specialty Clinic/Center
  • Bellingham, WA
  • NPI 1861572034
  NPD (past)
• Steven H Swedberg MD PS

  • Ophthalmology Physician
  • Edmonds, WA
  • NPI 1760655732
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1417930728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N FOREST ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255120",
            "telephone_number": "360-647-7750",
            "fax_number": "360-647-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N FOREST ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255120",
            "telephone_number": "360-647-7750",
            "fax_number": "360-647-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERG",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00032029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8159535",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlie Thomsen
• Carol D Thomson, MSW
• Heather Thomson
• Madeline Anne Thomson
• Jessica Thor, APRN
• Kathleen Lambert Thorndike, LICSW
• Rives Thornton
• Edwin R Thorp, DDS, MSD
• Michael Alan Thorpe, M.D.
• Sonja Anne Thorpe, DDS

• Ophthalmology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.

Verify at the official NPI Registry.