Individual
THOMAS M SHAHEEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
789 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1045
(330) 923-5676
(330) 572-2450
Mailing address
789 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1045
(330) 923-5676
(330) 572-2450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4050/T5
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028749
ANTHEM
—
05
—
0232644
—
OH
01
—
2200835
UNITED HEALTHCARE
—
01
—
2289653
AETNA
—
01
—
410032254
RAILROAD MEDICARE
—
01
—
55012
QUALCHOICE
—
Enumeration date
10/24/2005
Last updated
07/08/2007
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