Organization · Type 2 NPI

G.r. Thomas JR Od PA

Eyewear Supplier · Maple Grove, MN

NPI number 1659556264 Active

Practice location

7880 Mainstreet
Maple Grove, MN 55369-7081

Call (763) 420-6981 Map

Fax (763) 773-7253

Mailing address

7880 Main St N
Maple Grove, MN 55369-7081

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X1457 (MN)
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1659556264

G.r. Thomas JR Od PA's National Provider Identifier is 1659556264, issued on Jan 2, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Maple Grove, MN. The record was last updated on Mar 4, 2011.