Individual
DR. THOMAS ROBERT MALEY
Active
Individual
DR. THOMAS ROBERT MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4262T1058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211210
ANTHEM BC BS
OH
01
—
0351310001
DMERC REGION B
OH
05
—
2006251
—
OH
01
—
P00020057
RAILROAD MEDICARE
OH
Enumeration date
05/09/2006
Last updated
04/20/2008
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