Individual
THOMAS J MOOMAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 MASSILLON MARKETPLACE DR SW, MASSILLON, OH 44646-2018
(330) 730-4666
Mailing address
1 MASSILLON MARKETPLACE DR SW, MASSILLON, OH 44646-2018
(330) 730-4666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277865
—
OH
Enumeration date
07/24/2006
Last updated
11/19/2020
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