Individual
THOMAS E SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 N CLINTON ST, SUITE D, DEFIANCE, OH 43512-4611
(419) 782-1901
(419) 782-2200
Mailing address
800 N CLINTON ST, SUITE D, DEFIANCE, OH 43512-4611
(419) 782-1901
(419) 782-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3889
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0696617
—
OH
Enumeration date
03/09/2006
Last updated
10/31/2007
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