Thomas, Robert

Thomas, Robert is an sole proprietor health care provider with primary practice located at 1900 Kirby Pkwy Ste 102 , Germantown TN 38138-3653. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Thomas, Robert can be contacted via phone (901) 753-4724.

Contact Information

Primary practice address
1900 Kirby Pkwy Ste 102 Germantown TN 38138-3653
Phone: (901) 753-4724
Fax: (901) 759-5920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1376696054
LBN Legal business name Thomas, Robert
Credentials B.C.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Feb 19th, 2008 - 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 1376696054 NPPES
Tennessee MEDICAID 3554760
Tennessee Other 0165655

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