Individual provider Active NPI

Erik T Thompson, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1891082186
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP100234 Issued in ID
Practice address
8641 W Franklin Rd
Boise, ID 83709-0632
Phone
(208) 378-9225
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP100234 ID Primary

Addresses

Primary practice location

8641 W Franklin Rd
Boise, ID 83709-0632

Mailing address

8641 W Franklin Rd
Boise, ID 83709-0632
Phone (208) 378-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20141219002184 ID Practitioner - Optometry 2769705920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWK P CGroup PAC ID 5890824247, 14 clinicians

Practice addresses (Care Compare)

16448 N Midland Blvd
Nampa, ID 83687-5222
Phone (208) 297-7019

291 N Milwaukee St
Suite A3
Boise, ID 83704-9132
Phone (208) 297-7019

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Quality
77.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP100234IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Pros Treasure Valley Optometrist CurrentSince Feb 20, 2023 Accepting new patients
Idaho Eye Pros Idaho Falls LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients
LWK, P.C. Optometrist CurrentSince Sep 17, 2014 Accepting new patients

Locations

291 N Milwaukee St
Ste A3
Boise, ID 83704
Phone (208) 297-7019

3485 N Cole Rd
Unit 45479
Boise, ID 83711

2990 S 25th E
Idaho Falls, ID 83404
Phone (208) 378-7020

6252 N Linder Rd
Ste 150
Meridian, ID 83646
Phone (208) 297-7019

16448 N Midland Blvd
Nampa, ID 83687
Phone (208) 467-7020

1605 Blue Lakes Blvd N
Ste A
Twin Falls, ID 83301
Phone (208) 297-7019

Interoperability endpoints

  • Direct secure messaging: erik.thompson@direct.revolutionehr.com

Organizations & group practices 3

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1891082186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090632",
            "telephone_number": "208-378-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090632",
            "telephone_number": "208-378-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERIK",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.