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NPI Code Detail

MEDICARE: DR. CHRIS D THON O.D.

MEDICARE:  DR. CHRIS D THON  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
1152W00000XOptometrist1474DTKY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410046146OTHERMEDICARE RAILROAD

Other Identifiers

General Provider Information

NPI Number : 1871595025
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRIS D THON O.D.
Provider Business Mailing Address
First Line : PO BOX 631662
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1662
Country : US
Telephone Number : 859-581-7120
Fax Number : 859-581-7207
Provider Business Practice Location Address
First Line : 500 THOMAS MORE PKWY
Second Line :
City : CRESTVIEW HILLS
State : KY
Zip : 41017-3454
Country : US
Telephone Number : 859-341-4525
Fax Number : 859-341-4993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/16/2016

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Directions to “ DR. CHRIS D THON O.D.” Practice Location

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