DR. Thomas A Mack, OPTOMETRIST
NPI #1396817060 in Overland Park, Kansas
Provider Information
- NPI Number
- 1396817060
- Entity Type
- Individual
- Name
- DR. Thomas A Mack, OPTOMETRIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OPTOMETRIST
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 7701 FRONTAGE RD
- Address 2
- SUITE A
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66204-2364
- Phone
- (913) 648-3072
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