Czyz, Thomas R
Czyz, Thomas R is an individual health care provider with primary practice located at 42201 N 41St Dr Suite 124-128, Anthem AZ 85086-3800. He recently has 3 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 / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Czyz, Thomas R can be contacted via phone (623) 551-9122.Contact Information
Primary practice address
42201 N 41St Dr Suite 124-128
Anthem AZ 85086-3800
Phone: (623) 551-9122
Fax: (623) 551-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1146 | Arizona |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1146 | Arizona |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1146 | Arizona |
Profile Details
| NPI number | 1558470583 |
|---|---|
| LBN Legal business name | Czyz, Thomas R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 17th, 2014 - about 10 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 | 1558470583 | NPPES |
| Arizona | Other | AZ0903340 | BLUE CROSS BLUE SHIELD |
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