DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. TINA RENEE THOMAS OD

MEDICARE: MRS. TINA RENEE THOMAS 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
1152W00000XOptometrist046008635IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209030205OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1285633693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TINA RENEE THOMAS OD
Provider Business Mailing Address
First Line : 8921 N WOOD SAGE RD
Second Line :
City : PEORIA
State : IL
Zip : 61615-7822
Country : US
Telephone Number : 309-243-3869
Fax Number : 309-243-7918
Provider Business Practice Location Address
First Line : 8921 N WOOD SAGE RD
Second Line :
City : PEORIA
State : IL
Zip : 61615-7822
Country : US
Telephone Number : 309-243-2400
Fax Number : 309-243-7918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/28/2020

Similar Medicare Providers

1912901877 — DR. MIN-KYU HAN M.D.
Practice Location Address:
8921 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-2400
Practice Fax: 309-243-5692
1598763955 — DR. SUDHIR S SEKHON MD
Practice Location Address:
8940 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-3000
Practice Fax:
1174522486 — DR. NGUYET A LE-LINDQWISTER MD
Practice Location Address:
8940 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-3000
Practice Fax:
1063411379 — DR. PAUL A.S. FISHKIN MD
Practice Location Address:
8940 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-3000
Practice Fax: 309-243-3050
1336148659 — DR. SRINIVAS JUJJAVARAPU MD
Practice Location Address:
8940 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-3000
Practice Fax:
1245239565 — DR. JAMES A KNOST MD
Practice Location Address:
8940 N WOOD SAGE RD
PEORIA, IL
61615-7822
Practice Phone: 309-243-3000
Practice Fax: 309-243-3050

Directions to “ MRS. TINA RENEE THOMAS OD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.