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Individual

THOMAS J STOKKERMANS

Active
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Individual

THOMAS J STOKKERMANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4913
OH
207W00000X
Ophthalmology Physician
4913
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000127594
ANTHEM
OH
01
000000512669
ANTHEM
OH
05
2076417
OH
01
2107372
AETNA
OH
01
363942
WELLCARE
OH
01
738106
BUCKEYE
OH
01
P00398052
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
01/13/2021
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