Individual
DR. STEPHEN THOMAS BASIC III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1114 EMMET ST N STE D, CHARLOTTESVILLE, VA 22903-4841
(434) 971-2020
(434) 295-1351
Mailing address
106 VILLAGE CT, CHARLOTTESVILLE, VA 22903-4027
(434) 409-2396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001252
VA
Other
Enumeration date
02/08/2007
Last updated
04/29/2020
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