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NPI Code Detail

MEDICARE: DR. THOMAS ARTHUR MYERS O.D.

MEDICARE:  DR. THOMAS ARTHUR MYERS  O.D.
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
1152W00000XOptometristOD3853WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4G8889734OTHERWAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20256880OTHERWALABOR & INDUSTRIES
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255402715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ARTHUR MYERS O.D.
Provider Business Mailing Address
First Line : 5011 W LOWELL AVE
Second Line : SUITE 120
City : SPOKANE
State : WA
Zip : 99208-8587
Country : US
Telephone Number : 509-868-0215
Fax Number : 509-868-0245
Provider Business Practice Location Address
First Line : 5011 W LOWELL AVE
Second Line : SUITE 120
City : SPOKANE
State : WA
Zip : 99208-8587
Country : US
Telephone Number : 509-868-0215
Fax Number : 509-868-0245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 03/18/2015

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Directions to “ DR. THOMAS ARTHUR MYERS O.D.” Practice Location

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