Thomas, Gordon

Thomas, Gordon is an individual health care provider with primary practice located at 8319 Embassy Blvd , Port Richey FL 34668. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thomas, Gordon can be contacted via phone (727) 819-0440.

Contact Information

Primary practice address
8319 Embassy Blvd Port Richey FL 34668
Phone: (727) 819-0440
Fax: (727) 819-9795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP0002130 Florida

Profile Details

NPI number 1386690048
LBN Legal business name Thomas, Gordon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 1st, 2011 - about 13 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 1386690048 NPPES
Other 33801 BCBS GROUP
Other 1518098102 BCBS GROUP
Other 1386690048 BCBS GROUP
Other 19050 BCBS GROUP
Other ECPA-EYE MED BCBS GROUP
Other 620437600 BCBS GROUP
Other 19050X BCBS GROUP
Other 001656500 BCBS GROUP

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