Organization Active NPI

Thompson Ocular Prosthetics, Inc.

  • Ocularist
  • San Antonio, TX
National Provider Identifier
1548214562
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Legal business name
THOMPSON OCULAR PROSTHETICS, INC.
Practice address
4118 McCullough
Suite 16
San Antonio, TX 78212-5712
Phone
(210) 223-3754
Fax
(210) 223-1949
NPI assigned
May 22, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Miss Jean Thompson, BCONPI 1306859103
Title
President Board Certified Oculari
Phone
(210) 223-3754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1700X Primary
Durable Medical Equipment & Medical Supplies 332B00000X TX
Prosthetic/Orthotic Supplier 335E00000X TX

Addresses

Primary practice location

4118 McCullough
Suite 16
San Antonio, TX 78212-5712

Mailing address

4118 McCullough Ave
Suite 16
San Antonio, TX 78212-1979
Phone (210) 223-3754

Other identifiers 2

IdentifierTypeStateIssuer
087068501MedicaidTX
513442OtherTXBLUECROSS BLUESHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089430 TX DME Supplier - OcularistDME Supplier - Prosthetic Personnel 0547388829 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thompson Ocular Prosthetics Inc4118 McCullough Ave, San Antonio, TX 78212-1905(210) 223-3754 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

4118 McCullough Ave
Ste 16
San Antonio, TX 78212
Phone (210) 223-3754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1548214562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 MCCULLOUGH AVE",
            "address_2": "SUITE 16",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121979",
            "telephone_number": "210-223-3754",
            "fax_number": "210-223-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 MCCULLOUGH",
            "address_2": "SUITE 16",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125712",
            "telephone_number": "210-223-3754",
            "fax_number": "210-223-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON OCULAR PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT  BOARD CERTIFIED OCULARI",
        "authorized_official_telephone_number": "210-223-3754",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087068501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "513442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.