| Thomas George Bastholm, OD | |
|
1540 Savannah Rd, Lewes, DE 19958-1682 | |
| (302) 645-2020 | |
| (302) 645-2223 |
| Full Name | Thomas George Bastholm |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1540 Savannah Rd, Lewes, Delaware |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295808848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | DEI30001133 (Delaware) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 | Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 |
Grifasi Eyecare And Optical, Iii, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958 Phone: 302-644-1039 | |
Madison Elaine Reeves, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Savannah Rd Ste A, Lewes, DE 19958 Phone: 302-645-2020 | |
Richard Salvatore Grifasi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17425 Ocean One Plaza, Unit 2, Lewes, DE 19958 Phone: 302-644-1039 |