Individual
DR. THOMAS ARTHUR MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5011 W LOWELL AVE, SUITE 120, SPOKANE, WA 99208-8587
(509) 868-0215
(509) 868-0245
Mailing address
5011 W LOWELL AVE, SUITE 120, SPOKANE, WA 99208-8587
(509) 868-0215
(509) 868-0245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256880
LABOR & INDUSTRIES
WA
01
—
2005120
ORGANIZATION MEDICAID # X PACIFIC EYECARE
WA
05
—
2031060
—
WA
01
—
G8889734
MEDICARE PTAN
WA
Enumeration date
11/13/2006
Last updated
03/18/2015
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