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Organization
THOMAS & THOMAS OPHTHALMOLOGY, INC
Active
Organization
THOMAS & THOMAS OPHTHALMOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE W THOMAS (OFFICE MANAGER)
(440) 234-9200
Entity
Organization
Contact information
Practice address
18660 BAGLEY RD STE 300B, CLEVELAND, OH 44130-8454
(440) 234-9200
(440) 826-3817
Mailing address
4550 SLEEPY HOLLOW RD, MEDINA, OH 44256-8334
(440) 234-9200
(440) 826-3817
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165805
ANTHEM
—
05
—
0557624
—
OH
01
—
CD1702
MEDICARE RR
—
Enumeration date
11/02/2006
Last updated
11/18/2020
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