DR. Thomas R Fairley, O.D.

NPI #1023046158 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1023046158
Entity Type: Individual
Name: DR. Thomas R Fairley, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 29, 2006
Last Updated: Dec 7, 2007

Practice Location

Address: 9001 SUMMA AVE
City: Baton Rouge
State: Louisiana
ZIP Code: 70809-3726
Phone: (225) 761-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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