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General NPI Number Information
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NPI Number | 1558496497
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Entity Type | Individual
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Provider Name | CHRISTOPHER THOMAS OD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 5543 W SNOWBIRD DR
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City | ELOY
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State | AZ
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Zip | 85131-3804
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Country | US
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Telephone | 720-219-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 5543 W SNOWBIRD DR
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City | ELOY
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State | AZ
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Zip | 85131-3804
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Country | US
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Telephone | 720-219-7721
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Fax |
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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 | OPT2313
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License Number State | CO
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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 | OPT.0002313
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License Number State | CO
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