Individual provider Active NPI

John Edward Thompson III, MD

  • Ophthalmology Physician
  • Ladson, SC
National Provider Identifier
1447299771
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TL28648 Issued in SC
Practice address
9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone
(843) 553-2477
Fax
(843) 553-2478
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 TL28648 SC Primary

Addresses

Primary practice location

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118

Mailing address

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Other identifiers 1

IdentifierTypeStateIssuer
286489MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jthompson@lceyes.intellechartdirect.net Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000456 SC Practitioner - Ophthalmology 2163420407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Center of CharlestonGroup PAC ID 3678637147, 4 clinicians

Practice addresses (Care Compare)

9565 Hwy 78
BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Merit-based Incentive Payment System (MIPS)

Final score
91.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL28648SCMDOphthalmology Physician
28648SCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract and Laser Center of Charleston Ophthalmology CurrentSince Oct 20, 2008 Accepting new patients
Ettaleah Bluestein M.D. Ophthalmology PastSince Jan 7, 2010 Accepting new patients

Locations

9565 Highway 78
Bldg 200
Ladson, SC 29456
Phone (843) 553-2477

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-2477

Interoperability endpoints

  • Direct secure messaging: jthompson@lceyes.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1447299771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "TL28648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286489",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthompson@lceyes.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9565 Highway 78 Bldg 200",
            "city": "Ladson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294564118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.