Individual provider Active NPI

Gerald Lee Thompson, O.D.

  • Optometrist
  • Greenbelt, MD
National Provider Identifier
1831222355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0900 Issued in MD
Practice address
5900 Greenbelt Rd
Greenbelt, MD 20770-1010
Phone
(301) 982-4200
Fax
(301) 441-1093
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0900 MD Primary

Addresses

Primary practice location

5900 Greenbelt Rd
Greenbelt, MD 20770-1010

Mailing address

5900 Greenbelt Rd
Greenbelt, MD 20770-1010
Phone (301) 982-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090603000201 DC Practitioner - Optometry 9032269600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TD Annapolis IncGroup PAC ID 7911120902, 2 clinicians

Practice addresses (Care Compare)

5900 Greenbelt Rd
Suite a
Greenbelt, MD 20770-4088
Phone (301) 982-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
T.D.Annapolis, Inc Optometrist CurrentSince Jan 28, 2014 Accepting new patients
TD-Annapolis Inc Optometrist Past Accepting new patients

Locations

5900 Greenbelt Rd
Ste A
Greenbelt, MD 20770
Phone (301) 982-4200

5900 Greenbelt Rd
Greenbelt, MD 20770
Phone (301) 441-3643

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831222355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-982-4200",
            "fax_number": "301-441-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-982-4200",
            "fax_number": "301-441-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.