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NPI Code Detail

MEDICARE: DR. THOMAS M ABRUZZI O.D.

MEDICARE: DR. THOMAS M ABRUZZI 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
1152W00000XOptometrist3657T336OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OH0336OTHEROHEYEMED
2341535293OTHEROHVISION SERVICE PLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4SPECTERAOTHEROH24139

General Provider Information

NPI Number : 1588669790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS M ABRUZZI O.D.
Provider Business Mailing Address
First Line : 1606 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6613
Country : US
Telephone Number : 330-392-4191
Fax Number : 330-392-5031
Provider Business Practice Location Address
First Line : 1606 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44483-6613
Country : US
Telephone Number : 330-392-4191
Fax Number : 330-392-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 04/03/2008

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