MEDICARE: THOMAS ALLEN SAKLER OD

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	152W00000X	Optometrist	2447TG	TX
2	152W00000X	Optometrist	812	GA
3	152W00000X	Optometrist	859	KY

General Provider Information

NPI Number	:	1023097490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ALLEN SAKLER OD

Provider Business Mailing Address
First Line	:	7111MARVIN D LOVE FRWY
Second Line	:	STE 101
City	:	DALLAS
State	:	TX
Zip	:	75201
Country	:	US
Telephone Number	:	972-298-5379
Fax Number	:	972-283-5863

Provider Business Practice Location Address
First Line	:	7111MARVAN D LOVE FRWY
Second Line	:	STE 101
City	:	DALLAS
State	:	TX
Zip	:	75201
Country	:	US
Telephone Number	:	972-298-5379
Fax Number	:	972-283-5863

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/08/2007

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Directions to “ THOMAS ALLEN SAKLER OD” Practice Location

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