Wiley, Thomas Marvin
Wiley, Thomas Marvin is an individual health care provider with primary practice located at 1333 Superior St , Sandpoint ID 83864. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wiley, Thomas Marvin can be contacted via phone (208) 265-4140.Contact Information
Primary practice address
1333 Superior St
Sandpoint ID 83864
Phone: (208) 265-4140
Fax: (208) 265-4448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP602 | Idaho |
Profile Details
| NPI number | 1306956891 |
|---|---|
| LBN Legal business name | Wiley, Thomas Marvin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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