Active NPI
Taylor Gary Thompson, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1770739617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1634
- Practice address
- 8340 W McDowell Rd
Phoenix, AZ 85037-4101 - Phone
- (623) 936-0613
- Fax
- (623) 936-0653
- NPI assigned
- Aug 12, 2008
- 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 | 1634 | AZ | Primary |
Addresses
Primary practice location
8340 W McDowell Rd
Phoenix, AZ 85037-4101
Mailing address
18750 E Kingbird Dr
Queen Creek, AZ 85242-7997
Phone (503) 764-7632
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1770739617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18750 E KINGBIRD DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852427997",
"telephone_number": "503-764-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 W MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374101",
"telephone_number": "623-936-0613",
"fax_number": "623-936-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TAYLOR",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.