Travis Lee Thompson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3122 Issued in TN

Practice address

10904 Spring Bluff Way
Knoxville, TN 37932-1793

Phone

(865) 246-1500

Fax

(865) 245-4522

NPI assigned

May 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hardin Valley Eyecare and Optical

  • Point of Service
  • Knoxville, TN
  • NPI 1598170037
  Medicare reassignment NPD Authorized official
• Shea Physical Therapy Specialists LLC

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1730526716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 SPRING BLUFF WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321793",
            "telephone_number": "865-246-1500",
            "fax_number": "865-245-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 SPRING BLUFF WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321793",
            "telephone_number": "865-246-1500",
            "fax_number": "865-245-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002234",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I415320",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006781",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayanna Lee Thompson, CPC-A
• Raymond Thompson I
• Robert G Thompson II, MD
• Roger Wayne Thompson Jr., DO
• Sarah Elizabeth Thompson, MSN, FNP-BC
• Tabitha Thomson, M.A, CF-SLP
• Rachel Thomspon, BSW
• Lindsay Thornburg, LCSW
• Chad Alan Thornhill, M.D.
• Amy Thornton

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.