Connon, Thomas R

Connon, Thomas R is an individual health care provider with primary practice located at 5250 Far Hills Ave Suite 207, Dayton OH 45429-2382. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Connon, Thomas R can be contacted via phone (937) 433-2300.

Contact Information

Primary practice address
5250 Far Hills Ave Suite 207 Dayton OH 45429-2382
Phone: (937) 433-2300
Fax: (937) 433-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3725/T785 Ohio

Profile Details

NPI number 1386642205
LBN Legal business name Connon, Thomas R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386642205 NPPES
Ohio Other 2201247 UNITED HEALTHCARE
Ohio Other 3587A UNITED HEALTHCARE
Ohio Other 41104 UNITED HEALTHCARE
Ohio Other AE19781 UNITED HEALTHCARE
Ohio MEDICAID 0688304 UNITED HEALTHCARE
Ohio Other 000000189353 UNITED HEALTHCARE
Ohio Other 311026469026 UNITED HEALTHCARE

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