Individual
MR. THOMAS CHRISTIAN FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
5313C
NY
156FX1800X
Optician
Primary
5313C
NY
Other
Enumeration date
04/06/2007
Last updated
07/23/2008
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