Sheriff, Tom
Sheriff, Tom is an sole proprietor health care provider with primary practice located at 4206 Kemp Blvd Ste B, Wichita Falls TX 76308-2845. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sheriff, Tom can be contacted via phone (940) 696-2653.Contact Information
Primary practice address
4206 Kemp Blvd Ste B
Wichita Falls TX 76308-2845
Phone: (940) 696-2653
Fax: (940) 696-2685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3216TG | Texas |
Profile Details
| NPI number | 1467548313 |
|---|---|
| LBN Legal business name | Sheriff, Tom |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 19th, 2013 - about 13 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 | 1467548313 | NPPES |
| Texas | MEDICAID | 093168501 |
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