Individual provider Active NPI

Landon Drew Thompson

  • Ophthalmology Physician
  • Idaho Falls, ID
National Provider Identifier
1427640556
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1271345 Issued in ID
Practice address
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone
(208) 529-6600
Fax
(208) 529-6602
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1271345 ID Primary

Addresses

Primary practice location

2100 Providence Way
Idaho Falls, ID 83404-4951

Mailing address

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20250714002812 ID Practitioner - Ophthalmology 6305253600 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care of Eastern IdahoGroup PAC ID 2466611744, 11 clinicians

Practice addresses (Care Compare)

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Premier Eye Care of Eastern Idaho Single Specialty CurrentSince May 30, 2025 Accepting new patients
BMH, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Henrys Fork Surgery Center PLLC CurrentSince Jan 18, 2026 Accepting new patients
BMH, Inc. Single Specialty Current Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

5620 Harvest Springs Blvd
Chubbuck, ID 83202

2100 Providence Way
Idaho Falls, ID 83404
Phone (208) 529-6600

1777 E Clark St
Pocatello, ID 83201

23 Sawtelle Ave
#102
Rexburg, ID 83440
Phone (208) 359-1888

Interoperability endpoints

  • Direct secure messaging: lthompson@peceid.intellechartdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1427640556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044951",
            "telephone_number": "208-529-6600",
            "fax_number": "208-529-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044951",
            "telephone_number": "208-529-6600",
            "fax_number": "208-529-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LANDON",
        "middle_name": "DREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "1271345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.