Noonan, Thomas Edward

Noonan, Thomas Edward is an individual health care provider with primary practice located at 1040 Barnum Ave , Stratford CT 06614-4968. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Noonan, Thomas Edward can be contacted via phone (203) 378-3113.

Contact Information

Primary practice address
1040 Barnum Ave Stratford CT 06614-4968
Phone: (203) 378-3113
Fax: (203) 377-7207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1009 Connecticut

Profile Details

NPI number 1104960384
LBN Legal business name Noonan, Thomas Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 19th, 2010 - about 16 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 1104960384 NPPES
Connecticut MEDICAID 004081907

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