Individual
DR. THOMAS GLENN STINE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3575 MAPLE AVE, SEARS OPTICAL, ZANESVILLE, OH 43701-7019
(740) 452-1716
Mailing address
884 HILLGAIL CIR SW, PATASKALA, OH 43062-9141
(740) 964-2611
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3995T973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0782245
—
OH
Enumeration date
03/29/2006
Last updated
09/03/2007
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