Organization Active NPI

Dr.Kathryn S.Thompson & Associates

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1558666875
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 00003381 Issued in WA
Legal business name
DR.KATHRYN S.THOMPSON & ASSOCIATES
Practice address
2701 184TH St SW Ste 109
Lynnwood, WA 98037-4739
Phone
(425) 712-8443
Fax
(425) 712-0988
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mrs. Rusna Y Dungan
Title
Office Manager
Phone
(425) 712-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD 00003381 WA Primary

Addresses

Primary practice location

2701 184TH St SW Ste 109
Lynnwood, WA 98037-4739

Mailing address

2701 184TH St SW Ste 109
Lynnwood, WA 98037-4739
Phone (425) 712-8443

Other identifiers 2

IdentifierTypeStateIssuer
1265501431OtherWANPI TYPE 1
1006355MedicaidWA

National Provider Directory

National Provider Directory

Locations

2701 184th St SW
Ste 109
Lynnwood, WA 98037
Phone (425) 712-8443

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1558666875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 184TH ST SW STE 109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374739",
            "telephone_number": "425-712-8443",
            "fax_number": "425-712-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 184TH ST SW STE 109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374739",
            "telephone_number": "425-712-8443",
            "fax_number": "425-712-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.KATHRYN S.THOMPSON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "DUNGAN",
        "authorized_official_first_name": "RUSNA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-712-8443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 00003381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1265501431",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006355",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.