MEDICARE: GARRY J THOMAS MD PC DBA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225351547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRY J THOMAS MD PC DBA

Provider Business Mailing Address
First Line	:	2500 DEKALB PIKE
Second Line	:	SUITE 301
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-2007
Country	:	US
Telephone Number	:	610-272-1644
Fax Number	:	610-272-3210

Provider Business Practice Location Address
First Line	:	2500 DEKALB PIKE
Second Line	:	SUITE 301
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-2007
Country	:	US
Telephone Number	:	610-272-1644
Fax Number	:	610-272-3210

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. NEDRA BATES
Credential	:
Telephone Number	:	610-272-1644

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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