Individual
THOMAS J SHOEMAKER
Active
Individual
THOMAS J SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5156
OH
152W00000X
Optometrist
Primary
OH5091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218755
ANTHEM BXBS
OH
01
—
2202585
UNITED HEALTH CARE
OH
05
—
2262144
—
OH
01
—
2557352
AETNA
OH
01
—
410046890
RAILROAD MEDICARE
OH
Enumeration date
12/01/2006
Last updated
07/01/2014
Update your record
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