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: DR. THOMAS J BRYAN OD

MEDICARE: DR. THOMAS J BRYAN 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
1152W00000XOptometrist3012MN

Other Identifiers

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

General Provider Information

NPI Number : 1285695528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J BRYAN OD
Provider Business Mailing Address
First Line : 1140 POND CURV
Second Line :
City : WACONIA
State : MN
Zip : 55387-3103
Country : US
Telephone Number : 763-498-2751
Fax Number :
Provider Business Practice Location Address
First Line : 4455 HIGHWAY 169 N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55442-2897
Country : US
Telephone Number : 763-559-7358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 09/26/2013

Similar Medicare Providers

1477545895 — VALENTINI CHIROPRACTIC CLINIC LTD PA
Practice Location Address:
4455 HIGHWAY 169 N , #200
PLYMOUTH, MN
55442-2897
Practice Phone: 763-557-9032
Practice Fax: 763-557-5838
1700864279 — TANYA S ERNTSON OD
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
Practice Phone: 763-559-7358
Practice Fax: 763-559-2167
1831159680 — DR. KRISTINA M BORESPUPP OD
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
Practice Phone: 763-551-0529
Practice Fax: 763-559-6010
1427018266 — DR. DONALD H SEALOCK OD
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
Practice Phone: 763-559-7358
Practice Fax: 763-559-2167
1518928845 — DR. TIMOTHY J HURLEY OD
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
Practice Phone: 763-551-0529
Practice Fax:
1497785620 — DON SEALOCK, O.D., P.A.
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
Practice Phone: 763-559-7358
Practice Fax: 763-559-2167

Directions to “ DR. THOMAS J BRYAN 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.