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Contact Information

THOMAS I PORTER, OD
1225 S GRAND BLVD
SAINT LOUIS, MO63104-1016
 Phone: 314-977-5200
 Fax: 314-977-3495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for THOMAS I PORTER · (Male)

NPI Number 1265496871
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/12/2006
Last updated 11/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # T02178
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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