Individual
DR. MICHELLE ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OB008455
PA
152W00000X
Optometrist
Primary
OET008738
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397213
NATL VISION ADMIN PIN
PA
01
—
5252535
AETNA PIN
PA
Enumeration date
04/01/2006
Last updated
08/17/2009
Update your record
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