Mitchell, Thomas L.
Mitchell, Thomas L. is an individual health care provider with primary practice located at 25022 104Th Ave Se Ste D, Kent WA 98030-2822. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mitchell, Thomas L. can be contacted via phone (253) 859-1911.Contact Information
Primary practice address
25022 104Th Ave Se Ste D
Kent WA 98030-2822
Phone: (253) 859-1911
Fax: (253) 859-5084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0D00003501 | Washington |
Profile Details
| NPI number | 1538140637 |
|---|---|
| LBN Legal business name | Mitchell, Thomas L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Nov 15th, 2012 - about 12 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 | 1538140637 | NPPES |
| Washington | Other | 1679601512 | GROUP NPI |
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