Phillip Thompson, OD | |
11827 College Blvd, Overland Park, KS 66210-1314 | |
(913) 663-2020 | |
Not Available |
Full Name | Phillip Thompson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 10 Years |
Location | 11827 College Blvd, Overland Park, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063820306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2014020365 (Missouri) | Secondary |
152W00000X | Optometrist | 1992 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thompson Family Vision Pa | 9133434459 | 2 |
Provider Name | Thompson Family Vision Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336522887 PECOS PAC ID: 9133434459 Enrollment ID: O20150817000523 |
Mailing Address | Practice Location Address |
---|---|
Phillip Thompson, OD 11827 College Blvd, Overland Park, KS 66210-1314 Ph: (724) 557-4171 | Phillip Thompson, OD 11827 College Blvd, Overland Park, KS 66210-1314 Ph: (913) 663-2020 |
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