Patera, Thomas Patrick

Patera, Thomas Patrick is an sole proprietor health care provider with primary practice located at 5001 Sergeant Rd Suite 45, Sioux City IA 51106-4775. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Patera, Thomas Patrick can be contacted via phone (712) 224-4600.

Contact Information

Primary practice address
5001 Sergeant Rd Suite 45 Sioux City IA 51106-4775
Phone: (712) 224-4600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01683 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 1017 Nebraska

Profile Details

NPI number 1497837751
LBN Legal business name Patera, Thomas Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 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 1497837751 NPPES
Nebraska MEDICAID 100250180-00
Nebraska MEDICAID 3160648

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