Organization
THOMAS P REIS OD PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P. REIS O.D. (OWNER)
(360) 417-2020
Entity
Organization
Contact information
Practice address
811 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 417-2020
(360) 417-0254
Mailing address
811 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 417-2020
(360) 417-0254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108106
LABOR AND INDUSTRIES
—
05
—
2018836
—
WA
01
—
990008229
RAILROAD
WA
Enumeration date
05/05/2008
Last updated
04/06/2015
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