Thompson, Keith M

Thompson, Keith M is an individual health care provider with primary practice located at 375 Kings Hwy , Punta Gorda FL 33983-5222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thompson, Keith M can be contacted via phone (941) 625-5359.

Contact Information

Primary practice address
375 Kings Hwy Punta Gorda FL 33983-5222
Fax: (941) 625-5420
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2418 Florida

Profile Details

NPI number 1023185386
LBN Legal business name Thompson, Keith M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 20th, 2020 - about 4 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 1023185386 NPPES
Other 410044567 RR

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