Thamel, Brian Steven

Thamel, Brian Steven is an individual health care provider with primary practice located at 335 Park Ave , Worcester MA 01610-1000. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Thamel, Brian Steven can be contacted via phone (508) 753-5103.

Contact Information

Primary practice address
335 Park Ave Worcester MA 01610-1000
Phone: (508) 753-5103
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3463 Massachusetts
Eye and Vision Services Providers / Pediatrics 152WP0200X 3463 Massachusetts
Eye and Vision Services Providers / Vision Therapy 152WV0400X 3463 Massachusetts

Profile Details

NPI number 1508927054
LBN Legal business name Thamel, Brian Steven
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
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 1508927054 NPPES
Massachusetts MEDICAID 0393606

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