MEDICARE: THOMAS MARK ELLER

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	237700000X	Hearing Instrument Specialist	AS2734	FL

General Provider Information

NPI Number	:	1780613182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MARK ELLER

Provider Business Mailing Address
First Line	:	5000 CHESHIRE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-3706
Country	:	US
Telephone Number	:	888-333-9152
Fax Number	:	763-268-4240

Provider Business Practice Location Address
First Line	:	3399 WEDGEWOOD LN
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32162-7180
Country	:	US
Telephone Number	:	352-259-8070
Fax Number	:	352-259-8976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447203997 — SONUS-USA, INC
Practice Location Address:

3399 WEDGEWOOD LN
LADY LAKE, FL
32162-7180

Practice Phone: 352-259-8070
Practice Fax: 352-259-8976

1669415774 — KIRKLAND MALONE
Practice Location Address:

3399 WEDGEWOOD LN
THE VILLAGES, FL
32162-7180

Practice Phone: 352-259-8070
Practice Fax: 352-205-7619

1770838013 — MR. DANIEL P TERBRUEGGEN HAS, BC-HIS
Practice Location Address:

3399 WEDGEWOOD LN
THE VILLAGES, FL
32162-7180

Practice Phone: 352-259-8070
Practice Fax: 352-205-7619

1952657173 — THE VILLAGES EAR, INC
Practice Location Address:

3399 WEDGEWOOD LN
THE VILLAGES, FL
32162-7180

Practice Phone: 352-259-8070
Practice Fax:

1295616563 — CONNECT HEARING, INC.
Practice Location Address:

3399 WEDGEWOOD LN
THE VILLAGES, FL
32162-7180

Practice Phone: 352-259-8070
Practice Fax: 352-205-7619

1568510600 — RANDALL L KUNIK D.D.S.
Practice Location Address:

3423 BEE CAVES RD # C202
WEST LAKE HILLS, TX
78746-7180

Practice Phone: 512-327-8818
Practice Fax: 512-327-1018

Directions to “ THOMAS MARK ELLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.