Organization
WALESBY VISION CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS THOMAS OD (OWNER/PRESIDENT)
(813) 915-0755
Entity
Organization
Contact information
Practice address
253 PINE AVE N UNIT B, OLDSMAR, FL 34677-4630
(813) 915-0755
(813) 915-0704
Mailing address
253 PINE AVE N UNIT B, OLDSMAR, FL 34677-4630
(813) 915-0755
(813) 915-0704
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084909000
—
FL
Enumeration date
11/08/2011
Last updated
11/21/2024
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