Individual
DR. THOMAS KENT WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4135 FRANKLIN RD, ROANOKE, VA 24018-5703
(540) 776-2930
Mailing address
1507 HERSHBERGER RD NW STE C, ROANOKE, VA 24012-7300
(540) 362-1030
(540) 362-5574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010005353
—
VA
Enumeration date
12/21/2005
Last updated
07/21/2022
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