Altland, Thomas L

Altland, Thomas L is an individual health care provider with primary practice located at 915 Lincoln Way E , Massillon OH 44646. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Altland, Thomas L can be contacted via phone (330) 837-4234.

Contact Information

Primary practice address
915 Lincoln Way E Massillon OH 44646
Fax: (330) 837-4322
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2932T824 Ohio

Profile Details

NPI number 1922176221
LBN Legal business name Altland, Thomas L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1922176221 NPPES
Ohio MEDICAID 0228659

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