Thomas George Bastholm, O.D.
NPI #1295808848 in Lewes, Delaware
Provider Information
- NPI Number
- 1295808848
- Entity Type
- Individual
- Name
- Thomas George Bastholm, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
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Organizations
| Provider Name | |
|---|---|
| Grifasi Eyecare and Optical, Iii, Inc. |
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