Thomason, Dorothy C.

Thomason, Dorothy C. is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Thomason, Dorothy C. can be contacted via phone (270) 956-0775.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 956-0775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X T1470 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X T1470 Tennessee

Profile Details

NPI number 1669569141
LBN Legal business name Thomason, Dorothy C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jan 29th, 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 1669569141 NPPES
Kentucky MEDICAID 1669569141

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