Active NPI
Duane A Thompson, O.D.
- Optometrist
- Brookfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03466
- Practice address
- 431 S Main St
Brookfield, MO 64628-2146 - Phone
- (660) 258-7409
- Fax
- (660) 258-4092
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 14, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03466 | MO | Primary |
Addresses
Primary practice location
431 S Main St
Brookfield, MO 64628-2146
Mailing address
431 S Main St
P.O. Box 465
Brookfield, MO 64628-2146
Phone (660) 258-7409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740224724 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sloan Eyecare Center L.L.C
Practice addresses (Care Compare)
431 S Main St
Premier Eyecare Associates
Brookfield, MO 64628-2146
Phone (660) 258-7409
614 E 9TH St
Trenton, MO 64683-2211
Phone (660) 359-3957
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03466 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sloan Eyecare Center L.L.C | Optometrist | Current | Accepting new patients |
| Sloan Eyecare Center LLC | Optometrist | Current | Accepting new patients |
| Sloan Eyecare Center L.L.C | Optometrist | Current | Accepting new patients |
| Sloan Eyecare Center L.L.C | Optometrist | Past | Accepting new patients |
| Sloan Eyecare Center L.L.C | Optometrist | Past | Accepting new patients |
Locations
431 S Main St
Brookfield, MO 64628
Phone (660) 258-7409
1405 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1333
1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409
1904 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-3564
614 E 9th St
Trenton, MO 64683
Phone (660) 359-3957
Organizations & group practices 5
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1740224724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 S MAIN ST",
"address_2": "P.O. BOX 465",
"city": "BROOKFIELD",
"state": "MO",
"postal_code": "646282146",
"telephone_number": "660-258-7409",
"fax_number": "660-258-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 S MAIN ST",
"city": "BROOKFIELD",
"state": "MO",
"postal_code": "646282146",
"telephone_number": "660-258-7409",
"fax_number": "660-258-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DUANE",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740224724",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, MO
- Megan Eileen Rodgers Tschannen, PMHNP
- Amber Denae Singer, NP-C
- Sloan Eyecare Center L.L.C (Premier Eyecare Associates)
- Scott Stephen Spencer, R.PH.
- Maria Louise Taylor
- Tiffany Care Centers (McLarney Manor)
- Tiffany Care Centers, Inc (McLARNEY MANOR)
- Jerry L Wait, DO
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0203)
- Brent Everett Watson, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.