Individual
DR. THOMAS ARTHUR MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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