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Individual

DR. THOMAS RYAN COCCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
12194 JOHNSTON RD STE 120, CHARLOTTE, NC 28277-4483
(704) 541-6287
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1406
SC
152W00000X
Optometrist
Primary
2254
NC

Other

Enumeration date
01/19/2007
Last updated
05/16/2024
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