MEDICARE: DR. THOMAS MICHAEL HARVEY MD

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	207WX0120X	Cornea and External Diseases Specialist Physician	47806-20	WI
2	207W00000X	Ophthalmology Physician	47806-020	WI

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	:	1457353435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS MICHAEL HARVEY MD

Provider Business Mailing Address
First Line	:	2809 E HAMILTON AVE # 110
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-6863
Country	:	US
Telephone Number	:	715-449-8410
Fax Number	:	715-834-0373

Provider Business Practice Location Address
First Line	:	2751 COMMERCIAL BLVD STE 6
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-5080
Country	:	US
Telephone Number	:	715-449-8400
Fax Number	:	715-449-8400

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/10/2020

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