Individual
THOMAS MICHAEL CHESTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2740 CARNEGIE AVE, CLEVELAND, OH 44115-2627
(216) 621-6132
(216) 621-2803
Mailing address
2740 CARNEGIE AVE, CLEVELAND, OH 44115-2627
(216) 621-6132
(216) 621-2803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4731 T1535
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386381
—
OH
Enumeration date
08/15/2006
Last updated
12/03/2013
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