Individual
DR. CHARLES ANTHONY THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12707 LEXINGTON ST, HUNTINGDON, TN 38344-3720
(731) 986-4932
(731) 986-4932
Mailing address
PO BOX 649, HUNTINGDON, TN 38344-0649
(731) 986-4932
(731) 986-4932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 000915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3595277
—
TN
01
—
410023399
RETIRED RAILROAD MEDICARE
TN
Enumeration date
11/15/2006
Last updated
09/17/2014
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