Provider Demographics
NPI:1952321770
Name:R.S. THOMPSON, O.D., P.C.
Entity Type:Organization
Organization Name:R.S. THOMPSON, O.D., P.C.
Other - Org Name:EYES OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-656-5556
Mailing Address - Street 1:5502 WALZEM RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-2191
Mailing Address - Country:US
Mailing Address - Phone:210-656-5556
Mailing Address - Fax:210-656-5909
Practice Address - Street 1:5502 WALZEM RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-2191
Practice Address - Country:US
Practice Address - Phone:210-656-5556
Practice Address - Fax:210-656-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00641ZMedicare ID - Type UnspecifiedGROUP #