Individual
PAUL K THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1301 E NORTHLAND AVE, SUITE A, APPLETON, WI 54911-8582
(920) 734-8714
(920) 734-8785
Mailing address
1301 E NORTHLAND AVE, SUITE A, APPLETON, WI 54911-8582
(920) 734-8714
(920) 734-8785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2483
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38584000
—
WI
Enumeration date
10/06/2006
Last updated
11/18/2014
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