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General NPI Number Information
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NPI Number | 1083664916
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Entity Type | Individual
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Provider Name | KELLY H. THOMANN O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ALBANY POST ROAD VA HUDSON VALLEY HEALTHCARE SYSTEM
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City | MONTROSE
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State | NY
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Zip | 10548
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Country | US
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Telephone | 914-737-4400
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Fax | 914-788-4373
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Provider Business Mailing Address
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Address Line | 2 ACKERMAN CT
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-2027
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Country | US
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Telephone | 914-760-6871
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Fax | 914-788-4373
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | VUT5035
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2324
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License Number State | TN
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