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Organization

THOMAS & THOMAS OPHTHALMOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSE W THOMAS (OFFICE MANAGER)
(440) 234-9200
Entity
Organization

Contact information

Practice address
18660 BAGLEY RD STE 300B, CLEVELAND, OH 44130-8454
(440) 234-9200
(440) 826-3817
Mailing address
4550 SLEEPY HOLLOW RD, MEDINA, OH 44256-8334
(440) 234-9200
(440) 826-3817

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000165805
ANTHEM
05
0557624
OH
01
CD1702
MEDICARE RR
Enumeration date
11/02/2006
Last updated
11/18/2020
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