Individual
DR. MARGUERITE ELLEN BALL-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1935 STATE ROAD 436, WINTER PARK, FL 32792-2244
(407) 671-0960
(407) 677-6696
Mailing address
1935 STATE ROAD 436, WINTER PARK, FL 32792-2244
(407) 671-0960
(407) 677-6696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0002336
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC0002336
FL
152WP0200X
Pediatric Optometrist
OPC0002336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0625244
AETNA HMO
FL
05
—
084796800
—
FL
01
—
0912730001
PALMETTO (DMERC)
FL
01
—
4401350
AETNA PPO
FL
01
—
A005
CHAMPUS
FL
01
—
UNITED HEALTH CARE
201602
FL
Enumeration date
12/31/2005
Last updated
10/11/2022
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