Individual
THOMAS ERIC STICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001025242
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103480
GROUP HEALTH PLAN
—
01
—
111777
MERCY HEALTH PLANS
—
01
—
154765
BCBS
—
01
—
167299
EYEMED VISION CARE
—
01
—
2141308
UNITED HEALTHCARE
—
01
—
24942
OPTICARE EYE HLTH NETWORK
—
01
—
33666
COORDINATED VISION CARE
—
01
—
475940
HEALTHLINK
—
01
—
7442309
AETNA
—
Enumeration date
10/27/2006
Last updated
01/22/2008
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