Individual provider Active NPI

Cristopher A Thompson, D.O.

  • Ophthalmology Physician
  • Midwest City, OK
National Provider Identifier
1659579548
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5124 Issued in OK
Practice address
1455 S Douglas Blvd Ste D
Midwest City, OK 73130-5269
Phone
(405) 733-4545
Fax
(405) 733-2758
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 5124 OK Primary

Addresses

Primary practice location

1455 S Douglas Blvd Ste D
Midwest City, OK 73130-5269

Mailing address

1455 S Douglas Blvd Ste D
Midwest City, OK 73130-5269
Phone (405) 733-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5124OKMDOrthodontics and Dentofacial Orthopedic Dentist
18104CAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: cristopherthompsondo@shastaeye.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1659579548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S DOUGLAS BLVD STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305269",
            "telephone_number": "405-733-4545",
            "fax_number": "405-733-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S DOUGLAS BLVD STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305269",
            "telephone_number": "405-733-4545",
            "fax_number": "405-733-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CRISTOPHER",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.