Individual
DR. THOMAS MATTHEW BOBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
23609 LORAIN RD, NORTH OLMSTED, OH 44070-2222
(440) 734-9920
(440) 734-2870
Mailing address
23609 LORAIN RD, NORTH OLMSTED, OH 44070-2222
(440) 734-9920
(440) 734-2870
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3651/T364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507062
—
OH
01
—
0883480001
MEDICARE DME
OH
Enumeration date
06/27/2006
Last updated
06/04/2015
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