Provider Demographics
NPI:1689049116
Name:CHAD J THOMPSON OD CHARTERED
Entity Type:Organization
Organization Name:CHAD J THOMPSON OD CHARTERED
Other - Org Name:THE EYECARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-282-6086
Mailing Address - Street 1:128 W KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-2013
Mailing Address - Country:US
Mailing Address - Phone:785-282-6086
Mailing Address - Fax:785-282-3978
Practice Address - Street 1:128 W KANSAS AVE
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-2013
Practice Address - Country:US
Practice Address - Phone:785-282-6086
Practice Address - Fax:785-282-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1526152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty