LEO THOMPSON (O.D.) – Optometrist, NPI 1124330394

LEO THOMPSON (O.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004570 (MI). The NPI Number for LEO THOMPSON (O.D.) is 1124330394

Main info

Male
Sole Proprietor
16 Years Of Experience
Name
LEO THOMPSON (O.D.)
NPI
1124330394
Phone
(616) 949-8974
Address
3083 28TH ST SE
Enumeration Date
5 July 2010
Last Update Date
9 April 2021

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6163631868
Graduation Year
2010 (16 years ago)
PAC ID
7810272556
Group Practice PAC ID
7416288949
Professional Enrollment ID
I20170321001695
Address ID
MI495251608GR4022XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for LEO THOMPSON (O.D.)

  • 3083 28TH ST SE

    GRAND RAPIDS, MI 495121667

    Phone: (616) 949-8974

    Fax: (616) 949-7326

    Type: Location

  • 1700 S PARK ST

    STE C

    KALAMAZOO, MI 490012779

    Phone: (269) 342-0003

    Fax: (269) 342-4284

    Type: Mailing

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $858.

Total Amount is formed as General ($858) + Research ($0) + Ownership ($0) = $858.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($421).

Total Amount

$858

General + Research + Ownership

Payments

13

Total payment records

General Amount

$858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170321001695IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416288949View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the registry number for LEO THOMPSON (O.D.)?
The registry entry for LEO THOMPSON (O.D.) shows NPI 1124330394.
Is LEO THOMPSON (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists LEO THOMPSON (O.D.) as active.
What services align with LEO THOMPSON (O.D.)'s listing?
LEO THOMPSON (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LEO THOMPSON (O.D.)?
LEO THOMPSON (O.D.) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Why is information missing for LEO THOMPSON (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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