Fausset, Thomas Mark
Fausset, Thomas Mark is an individual health care provider with primary practice located at 2034 Cliff Dr , Santa Barbara CA 93109-1506. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fausset, Thomas Mark can be contacted via phone (805) 965-5223.Contact Information
Primary practice address
2034 Cliff Dr
Santa Barbara CA 93109-1506
Phone: (805) 965-5223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8223T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 8223T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 8223T | California |
Profile Details
| NPI number | 1568509438 |
|---|---|
| LBN Legal business name | Fausset, Thomas Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568509438 | NPPES |
| California | MEDICAID | OP8223 |
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