Karlotta Allyce Thurman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1877-812AT Issued in LA

Practice address

115 Coliseum Xing # 58
Hampton, VA 23666-5971

Phone

(757) 751-6236

NPI assigned

Jun 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karlotta Allyce Bushnell Former name

Medicare fee-for-service enrollment

Enrolled in LA, VA2 enrollments

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 2

Specialty

Optometry

Education

University of Houston - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Optometric Associates PCGroup PAC ID 5698873891, 5 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.

• Family Optometric Associates P.C.

  • Optometrist
  • Bethesda, MD
  • NPI 1629197520

  VA

  Medicare reassignment Care Compare group NPD
• Jarrett Ann Johnson a Professional Optometry Corporation

  • Optometrist
  • New Orleans, LA
  • NPI 1700058567
  Medicare reassignment NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1831627900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLISEUM XING # 58",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "757-751-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "KARLOTTA",
        "middle_name": "ALLYCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1877-812AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLOTTA",
            "last_name": "BUSHNELL",
            "middle_name": "ALLYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele Rene Thompson, COTA
• Rodney Leron Thompson, M.D.
• Sange Thompson
• Vonetta Coleman Thompson, LCSW
• Allan F. Thornton, M.D.
• Tidewater Diagnostic Imaging LTD
• Tidewater Family Health Centers, LTD.
• Tidewater Family Medicine, P C
• Tidewater Heart Institute Inc
• Tidewater Heart Laboratories

• Optometrist in Hampton, VA
• Providers in Hampton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.