# THOMPSON & SJAARDA PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retina Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457482663
- **Authorized official:** MR. JOHN LATHROP DAVIS JR. (BUSINESS MANAGER)
- **Authorized official phone:** (410) 296-9700

## Contact information

- **Practice address:** 77 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4893
- **Practice address phone:** (301) 682-9700
- **Practice address fax:** (301) 682-3578
- **Mailing address:** 6569 N CHARLES ST, SUITE 605, BALTIMORE, MD 21204-6831
- **Mailing address phone:** (410) 296-9700
- **Mailing address fax:** (410) 296-9705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 02/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CD5739 | RAILROAD MEDICARE | MD |