Provider Demographics
NPI:1487062261
Name:THOMPSON EYES, LLC
Entity type:Organization
Organization Name:THOMPSON EYES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:210-354-7390
Mailing Address - Street 1:14080 NACOGDOCHES RD # 93
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1944
Mailing Address - Country:US
Mailing Address - Phone:210-354-7390
Mailing Address - Fax:
Practice Address - Street 1:5327 STORMY SUNSET
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1851
Practice Address - Country:US
Practice Address - Phone:210-326-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146151OtherAMERICAN BOARD OF OPTICIANRY
TX146151OtherAMERICAN BOARD OF OPTICIANRY
TX7204760001Medicare NSC