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LEO THOMPSON O.D.
NPI 1124330394
Optometrist in Grand Rapids, MI

Active since July 05, 2010PECOS Enrolled
3083 28TH ST SE, GRAND RAPIDS, MI 49512(616) 949-8974(616) 949-7326 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Mar 15, 2017 (2 updates tracked since 2017).

About Leo Thompson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO THOMPSON O.D. (NPI 1124330394) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004570) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2010).

NPPES Registry Identity

NPI1124330394
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEO THOMPSONCredential: O.D.
Location Address3083 28TH ST SEGrand Rapids, MI 49512-1667
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(616) 949-8974
Fax(616) 949-7326
Sole ProprietorYes
Medical School CMSFerris State College - College Of OptometryGraduated 2010
Enumeration DateJuly 5, 2010
Last NPPES UpdateApril 9, 20212 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1124330394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004570
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3083 28TH ST SE, Grand Rapids, MI 49512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo Thompson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810272556
PECOS Enrollment IDI20170321001695
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RX OPTICAL LABORATORIES, INC.
Optometrist
3083 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 949-8974
MYEYEDR OPTOMETRY OF MICHIGAN, LLC
Optometrist
3083 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 949-8974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Thompson's NPI number?

The NPI number for Leo Thompson is 1124330394. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Leo Thompson located?

Leo Thompson practices at 3083 28th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 949-8974.

What is Leo Thompson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Leo Thompson enrolled in Medicare?

Yes. Leo Thompson is registered in the Medicare PECOS enrollment system.

What insurance does Leo Thompson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list Leo Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leo Thompson was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.