Candice Jean Thompson, ASSOCIATES DIPLOMA

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002461 Issued in GA

Practice address

98 Georgia Ave BLDG 356
Statesboro, GA 30458-4960

Phone

(912) 478-3937

Fax

(912) 478-2537

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Candice Jean McAlum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eagle Eye Care

  • Optician
  • Statesboro, GA
  • NPI 1033462965
  NPD (past)

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1457760795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GEORGIA AVE BLDG 356",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584960",
            "telephone_number": "912-478-3937",
            "fax_number": "912-478-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GEORGIA AVE BLDG 356",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584960",
            "telephone_number": "912-478-3937",
            "fax_number": "912-478-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CANDICE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ASSOCIATES DIPLOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "MCALUM",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cyntoria De'Asia Thomas
• Fionn Thomas, D.M.D.
• Kristen Ashley Thomas, PA-C
• Marissa Thomas
• Anne Weekley Thompson, MSPT
• Miranda Leanna Thompson, AT
• Rachel Thompson
• Katie Thomsen, PT, DPT
• Thrive Health and Wellness LLC
• Caroline Thurman, LPC

• Optician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.