NPIMap

Individual provider Active NPI

Charlotte R Thompson, MD

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1487691796
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22066 Issued in SC
Practice address
2016 Sumter St
Columbia, SC 29201-2100
Phone
(803) 744-2700
Fax
(803) 744-7979
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22066 SC
Ophthalmology Physician 207W00000X 22066 SC Primary

Addresses

Primary practice location

2016 Sumter St
Columbia, SC 29201-2100

Mailing address

2016 Sumter St
Columbia, SC 29201-2100
Phone (803) 744-2700

Other identifiers 3

IdentifierTypeStateIssuer
T62429MedicaidSC
8634OtherSCMEDICARE GROUP
22066OtherSCSC MEDICAL LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000294 SC Practitioner - Ophthalmology 8123920055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye and Ear Associates LLCGroup PAC ID 5294735031, 3 clinicians

Practice addresses (Care Compare)

2016 Sumter St
Columbia, SC 29201-2100
Phone (803) 744-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22066SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye and Ear Associates LLC Ophthalmology CurrentSince Jun 1, 2007 Accepting new patients
The Eye & Facial Center, LLC Ophthalmology PastSince Jan 1, 1990 Accepting new patients
University Specialty Clinics - Ophthalmology Ophthalmology Past Accepting new patients

Locations

2016 Sumter St
Columbia, SC 29201
Phone (803) 744-2700

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1487691796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 SUMTER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012100",
            "telephone_number": "803-744-2700",
            "fax_number": "803-744-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 SUMTER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012100",
            "telephone_number": "803-744-2700",
            "fax_number": "803-744-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLOTTE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "22066",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "22066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T62429",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8634",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE #",
            "identifier": "22066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.