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Individual

EVAN B THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
522 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663
(949) 650-9060
(949) 646-1461
Mailing address
522 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663
(949) 650-9060
(949) 646-1461

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4468
CA
152W00000X
Optometrist
Primary
OPT4468TPL
CA

Other

Enumeration date
07/11/2006
Last updated
09/05/2013
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