Thomas John Liesegang in Jacksonville - Ophthalmology
Thomas John Liesegang - NPI 1629068549
Thomas John Liesegang is a Ophthalmology in Jacksonville, Florida. Thomas John Liesegang practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Thomas John Liesegang is 1629068549. The last update date is 2007-07-08.
Thomas John Liesegang's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Thomas John Liesegang is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas John Liesegang |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629068549 |
|---|---|
| Provider Enumeration Date | 2005-10-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | ME21511 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92822 | FL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas John Liesegang by the Centers for Medicare & Medicaid Services?
The Thomas John Liesegang has been issued the NPI (National Provider Identifier) 1629068549 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Thomas John Liesegang?
The Thomas John Liesegang is situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the zip code 322241865.
What is Thomas John Liesegang's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas John Liesegang is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629068549 to Thomas John Liesegang?
The Thomas John Liesegang received its 1629068549 assignment from the Centers for Medicare & Medicaid Services on 2005-10-22.
As of what date were the Thomas John Liesegang's details last updated?
The information pertaining to the Thomas John Liesegang, including its address, specialty, and other details, was most recently updated on 2007-07-08.