Individual
DR. THOMAS C MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 747-0419
Mailing address
1804 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-4380
(252) 747-0419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09578
BCBS
NC
01
—
1679675581
GROUP NPI
NC
01
—
410017944
MEDICARE RAILROAD
NC
05
—
7909578
—
NC
Enumeration date
01/30/2006
Last updated
05/24/2012
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