Individual
DR. THOMAS PATRICK PATERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5001 SERGEANT RD, SUITE 45, SIOUX CITY, IA 51106-4775
(712) 224-4600
Mailing address
1823 S 194TH AVE, OMAHA, NE 68130-3770
(402) 763-9498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01683
IA
152W00000X
Optometrist
1017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250180-00
—
NE
05
—
3160648
—
IA
Enumeration date
10/19/2006
Last updated
07/08/2007
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