Individual
THOMAS J STOKKERMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3601
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
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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