Wiegand, Thomas Joseph
Wiegand, Thomas Joseph is an individual health care provider with primary practice located at 712 Cameron Woods Dr , Angola IN 46703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wiegand, Thomas Joseph can be contacted via phone (260) 668-3937.Contact Information
Primary practice address
712 Cameron Woods Dr
Angola IN 46703
Phone: (260) 668-3937
Fax: (260) 668-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001620 | Indiana |
Profile Details
| NPI number | 1396748703 |
|---|---|
| LBN Legal business name | Wiegand, Thomas Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 15th, 2018 - about 6 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 | 1396748703 | NPPES |
| Indiana | Other | 000000092387 | ANTHEM BCBS |
| Indiana | MEDICAID | 100152890 | ANTHEM BCBS |
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