Thomas H Berenson O D P C

NPI 1205999471 - Optometrist - 152W00000X

NPI Details
NPI 1205999471
Enumeration Date 12/19/2006
Last Updated 02/02/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS H THOMAS
Position PRESIDENT
Phone (918) 451-2020
Fax (918) 449-9086
Practice Location
3300 S ASPEN AVE
STE D
BROKEN ARROW OK, 74012-7501, US
Phone (918) 451-2020
Fax (918) 449-9086
Business Location
3300 S ASPEN AVE
STE D
BROKEN ARROW OK, 74012-7501, US
Phone (918) 451-2020
Fax (918) 449-9086
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 795
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According to our database, Thomas H Berenson O D P C NPI is 1205999471, taxonomy code is 152W00000X and license number is 795, license state is located at Oklahoma. Thomas H Berenson O D P C physically located at 3300 S Aspen Ave, Broken Arrow OK, 74012-7501. NPI Number 1033115704 has the healthcare provider type.

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1205999471 NPI number is provided on an as is basis without warranty of any kind. 1205999471 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas H Berenson O D P C are for informational purposes only.