Organization
THOMAS OCULAR PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT THOMAS BCO (PRESIDENT/ OWNER)
(901) 753-4724
Entity
Organization
Contact information
Practice address
1900 KIRBY PKWY, STE. 102, MEMPHIS, TN 38138-3653
(901) 753-4724
(901) 759-5920
Mailing address
1900 KIRBY PKWY, STE. 102, MEMPHIS, TN 38138-3653
(901) 753-4724
(901) 759-5920
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165655
BLUE CROSS BLUE SHIELD
TN
05
—
3554760
—
TN
Enumeration date
02/19/2008
Last updated
02/19/2008
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