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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 1568509438 NPPES
California MEDICAID OP8223

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