Thomas L Simmons

NPI #1447444716 in Victor, Idaho

Provider Information

NPI Number: 1447444716
Entity Type: Organization
Organization Name: Thomas L Simmons
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 741 S 50 W STE B
City: Victor
State: Idaho
ZIP Code: 83455-5129
Phone: (208) 787-3937

Authorized Official

Name: DR. THOMAS LYLE SIMMONS, O.D.
Title: OPTOMETRIST
Phone: (208) 787-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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