Active NPI
Bronwyn S. Thompson
- Optician
- Clifton Park, NY
National Provider Identifier
1730413923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 006267-1
- Practice address
- 22 Clifton Country Rd
Clifton Park, NY 12065-3832 - Phone
- (518) 371-1881
- Fax
- (518) 371-1906
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 006267-1 | NY | Primary |
Addresses
Primary practice location
22 Clifton Country Rd
Clifton Park, NY 12065-3832
Mailing address
22 Clifton Country Rd
Clifton Park, NY 12065-3832
Phone (518) 371-1881
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006267-1 | NY | MD | Optician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1730413923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CLIFTON COUNTRY RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653832",
"telephone_number": "518-371-1881",
"fax_number": "518-371-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CLIFTON COUNTRY RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653832",
"telephone_number": "518-371-1881",
"fax_number": "518-371-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRONWYN",
"middle_name": "S.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "006267-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.