Dr Thomas Od PA

NPI #1194993527 in Sunrise, Florida

Provider Information

NPI Number: 1194993527
Entity Type: Organization
Organization Name: Dr Thomas Od PA
Primary Specialty: Optometrist
Enumeration Date: Feb 19, 2008
Last Updated: Jul 11, 2011

Practice Location

Address: 1396 SW 160TH AVE
Address 2: SUITE #2
City: Sunrise
State: Florida
ZIP Code: 33326-1965
Phone: (954) 888-6466

Authorized Official

Name: DR. CHARMAINE THOMAS, O.D.
Title: SECRETARY
Phone: (954) 888-6466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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