Individual provider Active NPI

Jeffrey Allen Thompson, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1679928360
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60670127 Issued in WA
Practice address
7808 N Division St Ste 2
Spokane, WA 99208-6780
Phone
(509) 795-2289
Fax
(509) 487-2842
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60670127 WA Primary

Addresses

Primary practice location

7808 N Division St Ste 2
Spokane, WA 99208-6780

Mailing address

7808 N Division St
Ste 2
Spokane, WA 99208-6780
Phone (509) 954-9695

Other identifiers 1

IdentifierTypeStateIssuer
2091439MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821000798 WA Practitioner - Optometry 4082989173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Eye Care LLCGroup PAC ID 5890044135, 3 clinicians

Practice addresses (Care Compare)

15319 E Indiana Ave
Suite 2
Spokane Valley, WA 99216-1863
Phone (509) 608-3921

7808 N Division St
Suite 2
Spokane, WA 99208-6780
Phone (509) 795-2289

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60670127WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Eye Care LLC Optometrist CurrentSince Jun 10, 2018 Accepting new patients

Locations

7808 N Division St
Ste 2
Spokane, WA 99208
Phone (509) 795-2289

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1679928360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 N DIVISION ST",
            "address_2": "STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086780",
            "telephone_number": "509-954-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 N DIVISION ST STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086780",
            "telephone_number": "509-795-2289",
            "fax_number": "509-487-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60670127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091439",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.