MEDICARE: DR. CHRISTOPHER THOMAS O.D.

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	1803-737AT	LA

General Provider Information

NPI Number	:	1376910265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER THOMAS O.D.

Provider Business Mailing Address
First Line	:	420 N 2ND ST
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422-2420
Country	:	US
Telephone Number	:	985-748-8750
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 N 2ND ST
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422-2420
Country	:	US
Telephone Number	:	985-981-1216
Fax Number	:

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

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	02/03/2026

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