Bidwell Optometry

NPI 1063724995 - Optometrist - 152W00000X

NPI Details
NPI 1063724995
Enumeration Date 07/08/2010
Last Updated 04/04/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THOMAS A. THOMAS
Position PRESIDENT
Phone (916) 983-0896
Fax (916) 983-0172
Practice Location
2545 E BIDWELL ST
SUITE 160
FOLSOM CA, 95630-6440, US
Phone (916) 983-0896
Fax (916) 983-0172
Business Location
2545 E BIDWELL ST
SUITE 160
FOLSOM CA, 95630-6440, US
Phone (916) 983-0896
Fax (916) 983-0172
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 6258T
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According to our database, Bidwell Optometry NPI is 1063724995, taxonomy code is 152W00000X and license number is 6258T, license state is located at California. Bidwell Optometry physically located at 2545 E Bidwell St, Folsom CA, 95630-6440. NPI Number 1033115704 has the healthcare provider type.

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1063724995 NPI number is provided on an as is basis without warranty of any kind. 1063724995 is maintained by the National Plan & Provider Enumeration System. The contents of Bidwell Optometry are for informational purposes only.