Individual
JULIE A THUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
309 E BROADWAY AVE, MEDFORD, WI 54451-1835
(715) 748-2020
(715) 748-4565
Mailing address
309 E BROADWAY AVE, P.O. BOX 547, MEDFORD, WI 54451-1835
(715) 748-2020
(715) 748-4565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2978
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0474980001
DMERC-MEDFORD GROUP
WI
01
—
10445
NVA-MEDFORD GROUP
WI
01
—
1271670001
DMERC-COLBY GROUP
WI
01
—
2978
LICENSE
WI
05
—
38623300
—
WI
05
—
38715100
—
WI
05
—
38715300
—
WI
01
—
39-1229699
FEDERAL TAX ID-MEDFORD
WI
01
—
39-1967186
FEDERAL TAX ID-COLBY
WI
01
—
391229699015
BLUE CROSS BLUE SHIELD-ME
WI
01
—
391967186019
BLUE CROSS BLUE SHIELD-CO
WI
01
—
410031756
RAILROAD MEDICARE-MEDFORD
WI
01
—
410045064
RAILROAD MEDICARE-COLBY
WI
01
—
92053
SECURITY HEALTH PLAN-MEDF
WI
01
—
92054
SECURITY HEALTH PLAN-COLB
WI
Enumeration date
12/28/2005
Last updated
03/07/2023
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