Judd, Thomas Aaron

Judd, Thomas Aaron is an individual health care provider with primary practice located at 15640 New Hampshire Ct , Fort Myers FL 33908-4168. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Judd, Thomas Aaron can be contacted via phone (239) 466-3111.

Contact Information

Primary practice address
15640 New Hampshire Ct Fort Myers FL 33908-4168
Phone: (239) 466-3111
Fax: (239) 466-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 4141 Florida

Profile Details

NPI number 1487615704
LBN Legal business name Judd, Thomas Aaron
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 26th, 2019 - about 5 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 1487615704 NPPES
Florida Other P00369128 RAIL ROAD MEDICARE

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