Individual
DR. LINDY A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2300 NE BROADWAY ST, PORTLAND, OR 97232-1611
(503) 284-2300
(503) 284-2347
Mailing address
2300 NE BROADWAY ST, PORTLAND, OR 97232-1611
(503) 284-2300
(503) 284-2347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3293AT
OR
152W00000X
Optometrist
350
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002502046
—
NV
01
—
410049319
RAILROAD MEDICARE
NV
01
—
CC8156
BCBS PROVIDER ID
NV
Enumeration date
01/10/2007
Last updated
05/21/2013
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