Individual
THOMAS GOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
325 E LEWIS AND CLARK PKWY STE 200, CLARKSVILLE, IN 47129-1725
(812) 288-2029
(502) 736-4490
Mailing address
PO BOX 207170, DALLAS, TX 75320-7170
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1530DT
KY
152W00000X
Optometrist
Primary
18002107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100740
—
IN
Enumeration date
07/05/2005
Last updated
05/07/2021
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