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General NPI Number Information
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NPI Number | 1679651814
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Entity Type | Organization
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Legal Business Name | THOMAS & THOMAS OPHTHALMOLOGY, INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 18660 BAGLEY RD STE 300B
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City | CLEVELAND
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State | OH
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Zip | 44130-8454
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Country | US
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Telephone | 440-234-9200
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Fax | 440-826-3817
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Provider Business Mailing Address
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Address Line | 4550 SLEEPY HOLLOW RD
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City | MEDINA
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State | OH
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Zip | 44256-8334
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Country | US
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Telephone | 440-234-9200
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Fax | 440-826-3817
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JESSE W THOMAS
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Credential |
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Telephone | 440-234-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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