MEDICARE: JAMES E. FOLSOM & THOMAS D. DENNIS DR.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	OPC813	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053597310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E. FOLSOM & THOMAS D. DENNIS DR.S

Provider Business Mailing Address
First Line	:	1541 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6748
Country	:	US
Telephone Number	:	954-942-1313
Fax Number	:	954-942-0099

Provider Business Practice Location Address
First Line	:	1541 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6748
Country	:	US
Telephone Number	:	954-942-1313
Fax Number	:	954-942-0099

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. THOMAS DAVID DENNIS
Credential	:	O.D.
Telephone Number	:	954-942-1313

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	02/24/2012

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