G.R. Thomas Jr Od Pa in Maple Grove - Eyewear Supplier

G.R. Thomas Jr Od Pa - NPI 1659556264

G.R. Thomas Jr Od Pa is a Eyewear Supplier in Maple Grove, Minnesota. G.R. Thomas Jr Od Pa practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for G.R. Thomas Jr Od Pa is 1659556264. The last update date is 2011-03-04.

G.R. Thomas Jr Od Pa's current location address is 7880 Main St N, Maple Grove, Minnesota. You can contact this provider via phone number 7634206981 and fax number 7637737253. The mailing address for G.R. Thomas Jr Od Pa is 7880 Main St N, Maple Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization G.R. Thomas Jr Od Pa
Address 7880 Main St N, Maple Grove, Minnesota
Phone Number 7634206981
Fax Number 7637737253
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INSURANCE
Authorized Official Name Lindstrom Alissa
Credentials CPO
Telephone Number 7634206981

NPI Number Detail

NPI Number 1659556264
Provider Enumeration Date 2008-01-02
Last Updated Date 2011-03-04

Provider Mailing Address Detail

Address 7880 Main St N
City Maple Grove
State Minnesota (MN)
Post Code 553697081
Phone Number 7634206981
Fax Number 7637737253

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
652323400 MN --

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FAQs about G.R. Thomas Jr Od Pa

What is the G.R. Thomas Jr Od Pa's 1659556264?

The G.R. Thomas Jr Od Pa's NPI (National Provider Identifier) Number is 1659556264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where G.R. Thomas Jr Od Pa's facilities are geographically located?

The facilities of G.R. Thomas Jr Od Pa are physically situated at the following location: 7880 Main St N, Maple Grove, MN, 553697081.

What is the area of specialization for G.R. Thomas Jr Od Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for G.R. Thomas Jr Od Pa is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.

When did G.R. Thomas Jr Od Pa receive its 1659556264 assignment?

The G.R. Thomas Jr Od Pa was assigned its 1659556264 on 2008-01-02, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to G.R. Thomas Jr Od Pa most recently updated or revised?

The information pertaining to G.R. Thomas Jr Od Pa, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-04.

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