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Individual

DR. BRIAN STEVEN THAMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
335 PARK AVE, WORCESTER, MA 01610-1000
(508) 753-5103
Mailing address
335 PARK AVE, WORCESTER, MA 01610-1000
(508) 753-5103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3463
MA
152WP0200X
Pediatric Optometrist
3463
MA
152WV0400X
Vision Therapy Optometrist
Primary
3463
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0393606
MA
Enumeration date
12/12/2006
Last updated
09/11/2025
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