Mirabile, Thomas Joseph

Mirabile, Thomas Joseph is an individual health care provider with primary practice located at 1031 Highway 41 Ste 400, Mt Pleasant SC 29466-9320. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mirabile, Thomas Joseph can be contacted via phone (843) 388-1888.

Contact Information

Primary practice address
1031 Highway 41 Ste 400 Mt Pleasant SC 29466-9320
Fax: (843) 856-9643
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1350 South Carolina

Profile Details

NPI number 1679538284
LBN Legal business name Mirabile, Thomas Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679538284 NPPES
South Carolina MEDICAID D13509

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