Individual
DR. THOMAS R CONNON
Active
Individual
DR. THOMAS R CONNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3725/T785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189353
ANTHEM BC/BS
OH
05
—
0688304
—
OH
01
—
2201247
UNITED HEALTHCARE
OH
01
—
311026469026
CARESOURCE
OH
01
—
3587A
DAVIS VISION
OH
01
—
41104
COLE VISION
OH
01
—
AE19781
SPECTERA VISION
OH
Enumeration date
07/13/2005
Last updated
03/12/2012
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