Individual
MR. THOMAS MARK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
216 W CENTRAL BLVD, ANADARKO, OK 73005-3406
(405) 247-3391
(405) 247-3391
Mailing address
216 W CENTRAL BLVD, PO BOX 125, ANADARKO, OK 73005-3406
(405) 247-3391
(405) 247-3391
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
17807
OK
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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