Thomas R Fairley O.D.

NPI 1023046158 - Optometrist - 152W00000X

NPI Details
NPI 1023046158
Gender Male
Enumeration Date 06/29/2006
Last Updated 12/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9001 SUMMA AVE
BATON ROUGE LA, 70809-3726, US
Phone (225) 761-5200
Fax (225) 761-5618
Business Location
9001 SUMMA AVE
BATON ROUGE LA, 70809-3726, US
Phone (225) 761-5200
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 1220-389T
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According to our database, Dr. Thomas R Fairley O.D. NPI is 1023046158, taxonomy code is 152W00000X and license number is 1220-389T, license state is located at Louisiana. Thomas R Fairley O.D. physically located at 9001 Summa Ave, Baton Rouge LA, 70809-3726. NPI Number Thomas R Fairley O.D. has the Individual type.

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1023046158 NPI number is provided on an as is basis without warranty of any kind. 1023046158 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas R Fairley O.D. are for informational purposes only.