Gober, Thomas

Gober, Thomas is an individual health care provider with primary practice located at 325 E Lewis And Clark Pkwy Ste 200 , Clarksville IN 47129-1725. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gober, Thomas can be contacted via phone (812) 288-2029.

Contact Information

Primary practice address
325 E Lewis And Clark Pkwy Ste 200 Clarksville IN 47129-1725
Phone: (812) 288-2029
Fax: (502) 736-4490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1530DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18002107A Indiana

Profile Details

NPI number 1619974722
LBN Legal business name Gober, Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated May 7th, 2021 - about 5 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 1619974722 NPPES
Indiana MEDICAID 100100740

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