Individual
DR. JOE FRANK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2127
AZ
152W00000X
Optometrist
OPT.0003154
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127
ARIZONA STATE LICENSE
AZ
01
—
OPT.00031554
COLORADO STATE OPTOMETRY LICENSE
CO
Enumeration date
07/23/2015
Last updated
09/08/2016
Update your record
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