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Contact Information

GORDON THOMAS, OD
8319 EMBASSY BLVD
PORT RICHEY, FL34668
 Phone: 727-819-0440
 Fax: 727-819-9795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GORDON THOMAS · (Male)

NPI # 1386690048
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/25/2006
Last updated 06/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OP0002130
  • Other 33801 BCBS GROUP
  • Other 19050 BCBS INDIVIDUAL
  • Other ECPA-EYE MED FL2130
  • FL Other 620437600 MEDICAID GROUP
  • FL Other 001656500 MEDICAID INDIVIDUAL
  • FL Other 19050X MEDICARE PTAN
  • FL Other 1518098102 MEDICARE GROUP NPI
  • FL Other 1386690048 MEDICARE NPI
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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