G.r. Thomas Jr Od Pa is a
Eyewear Supplier based in Maple Grove, Minnesota. G.r. Thomas Jr Od Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
7880 Mainstreet, Maple Grove, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(763) 420-6981.
NPI number for G.r. Thomas Jr Od Pa is 1659556264 and their current mailing address is 7880 Main St N, Maple Grove, Minnesota. G.r. Thomas Jr Od Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659556264.
Healthcare Provider's Profile
| Full Name | G.r. Thomas Jr Od Pa |
|---|
| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 7880 Mainstreet, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659556264
- Provider Enumeration Date: 01/02/2008
- Last Update Date: 03/04/2011
Medical Identifiers
Medical identifiers for G.r. Thomas Jr Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659556264 | NPI | - | NPPES |
| 652323400 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1457 (Minnesota) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. G.r. Thomas Jr Od Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
G.r. Thomas Jr Od Pa
7880 Main St N,
Maple Grove, MN 55369-7081
Ph: (763) 420-6981 | G.r. Thomas Jr Od Pa
7880 Mainstreet,
Maple Grove, MN 55369-7081
Ph: (763) 420-6981 |
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