W Derrick Thornton in Moultrie - Optometrist
W Derrick Thornton - NPI 1326069741
W Derrick Thornton is a Optometrist in Moultrie, Georgia. W Derrick Thornton practices all healthcare services and medical treatments related to Optometrist. The NPI Number for W Derrick Thornton is 1326069741. The last update date is 2009-06-30.
W Derrick Thornton's current location address is 2375 S Main St, Moultrie, Georgia. You can contact this provider via phone number 2298752020 and fax number 2298907741. The mailing address for W Derrick Thornton is 2375 S Main St, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W Derrick Thornton |
|---|---|
| Address | 2375 S Main St, Moultrie, Georgia |
| Phone Number | 2298752020 |
| Fax Number | 2298907741 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1326069741 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2009-06-30 |
Provider Mailing Address Detail
| Address | 2375 S Main St |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 317686517 |
| Phone Number | 2298752020 |
| Fax Number | 2298907741 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT002129 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100623 | GA | AVESIS | |
| P00055084 | RAILROAD MEDICARE | ||
| 34465 | GA | OPTICARE | |
| 907034188A | GA | -- | |
| 966871 | GA | BLUE CROSS | |
| 907034188B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to W Derrick Thornton by the Centers for Medicare & Medicaid Services?
The W Derrick Thornton has been assigned the NPI (National Provider Identifier) 1326069741 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where W Derrick Thornton is physically located?
The W Derrick Thornton is situated at the following address: 2375 S Main St, Moultrie, GA 317686517.
What is the W Derrick Thornton's area of specialization and corresponding taxonomy classification?
The W Derrick Thornton's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326069741 to W Derrick Thornton?
The Centers for Medicare & Medicaid Services originally issued the 1326069741 to W Derrick Thornton on 2006-07-21.
When was the information regarding W Derrick Thornton most recently updated?
The details pertaining to the W Derrick Thornton, including its address, specialty, and other relevant information, were last refreshed on 2009-06-30.