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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1396748703 NPPES
Indiana Other 000000092387 ANTHEM BCBS
Indiana MEDICAID 100152890 ANTHEM BCBS

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