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NPI Code Detail

MEDICARE: THOMAS B DANKWORTH OD INC

MEDICARE: THOMAS B DANKWORTH OD INC
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
1152W00000XOptometrist2906OH

General Provider Information

NPI Number : 1073983664
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS B DANKWORTH OD INC
Provider Business Mailing Address
First Line : 600 MOUND CT
Second Line :
City : LEBANON
State : OH
Zip : 45036-1994
Country : US
Telephone Number : 513-932-5965
Fax Number :
Provider Business Practice Location Address
First Line : 600 MOUND CT
Second Line :
City : LEBANON
State : OH
Zip : 45036-1994
Country : US
Telephone Number : 513-932-5965
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. THOMAS BARRY DANKWORTH
Credential : O.D.
Telephone Number : 513-932-5965
Provider Enumeration Date : 09/25/2015
Last Update Date : 09/25/2015

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Directions to “THOMAS B DANKWORTH OD INC ” Practice Location

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