Dr. Keith P Thompson
Ophthalmologist Optomitrist - Corneal and Contact Lenses
5582 Memorial Dr Ste 200
Stone Mountain
, Georgia 30083-3215
Dr. Keith P Thompson
Ophthalmologist Optomitrist - Corneal and Contact Lenses
5582 Memorial Dr Ste 200
Stone Mountain
, Georgia 30083-3215
(404) 513-9965
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Keith P Thompson
- 4338 Town Commons Cir Ne
- Atlanta, GA
- Zip : 30319-1160
- Phone : (404) 513-9965
Second Address
- Dr. Keith P Thompson
- 5582 Memorial Dr Ste 200
- Stone Mountain, GA
- Zip : 30083-3215
- Phone : (404) 513-9965
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 031339 | GA |
| Y | 207W00000X | Ophthalmologist | 031339 | GA |
National Provider Identifier
| NPI | 1245248590 |
|---|---|
| Provider Name | Dr. Keith P Thompson |
| First Address | Atlanta, GA 30319-1160 |
| Second Address | Stone Mountain, GA 30083-3215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 11/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10636649 | CAQH (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.