Individual
THOMAS J LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180021882
RR MEDICARE
—
Enumeration date
09/07/2005
Last updated
01/18/2012
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