Individual provider Active NPI

Duane A Thompson, O.D.

  • Optometrist
  • Brookfield, MO
National Provider Identifier
1740224724
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03466 Issued in MO
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 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

IdentifierTypeStateIssuer
1740224724MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001733 MO Practitioner - Optometry 5991770612 Reassigns benefits to 2 organizations

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.CGroup PAC ID 6103891825, shared by 5 NPIs, 8 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03466MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sloan Eyecare Center L.L.C Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Sloan Eyecare Center LLC Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Sloan Eyecare Center L.L.C Optometrist CurrentSince Jan 1, 2002 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

Sources for this page

Verify at the official NPI Registry.