Bandy, Thomas William
Bandy, Thomas William is an individual health care provider with primary practice located at 11289 Parkside Dr Ste1108, Knoxville TN 37934. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bandy, Thomas William can be contacted via phone (865) 675-2524.Contact Information
Primary practice address
11289 Parkside Dr Ste1108
Knoxville TN 37934
Phone: (865) 675-2524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 945 | Tennessee |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ODT 945 | Tennessee |
Profile Details
| NPI number | 1467557751 |
|---|---|
| LBN Legal business name | Bandy, Thomas William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Aug 13th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467557751 | NPPES |
| Tennessee | MEDICAID | Q019837 |
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