Individual
DR. THOMAS SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10 CEDRON RD, VICTOR, ID 83455-5015
(208) 787-3937
(208) 787-3939
Mailing address
PO BOX 979, VICTOR, ID 83455-0979
(208) 787-3937
(208) 787-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-10009
ID
Other
Enumeration date
10/02/2006
Last updated
03/06/2024
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