# MATTHEW J THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659336733
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036117608 | IL | — |
| 207W00000X | Ophthalmology Physician | 53859-020 | WI | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 12/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036117608 | — | IL |
| 05 | — | 1659336733 | — | WI |
| 01 | — | P00404391 | RR MEDICARE | IL |