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Individual
DR. THOMAS EUGENE WARD
Active
Individual
DR. THOMAS EUGENE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5966T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06769
MEDICAL EYE SERVICES
CA
01
—
116543
EYEMED
CA
01
—
942474967
TAX ID
CA
01
—
SD0059660
BLUE SHIELD OF CALIFORNIA
CA
05
—
SD0059660
—
CA
Enumeration date
01/21/2007
Last updated
01/14/2016
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