MR. ROGER DWIGHT THOMAS SR.


Address: 2648 Lee Ave, Sanford, NC 27332-5950
Phone: 9197755221

MR. ROGER DWIGHT THOMAS SR. (NPI# 1356470322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356470322
Entity Type Individual
Full Name MR. ROGER DWIGHT THOMAS SR.
Practice Address 2648 Lee Ave
Sanford
NC 27332-5950
Practice Telephone 9197755221
Practice Fax Number 9197757655
Mailing Telephone 9197755221
Mailing Fax Number 9197757655
Enumeration Date 2007-03-05
Last Update Date 2008-02-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
0710 NC Eye and Vision Services Providers

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Office Location

Street Address 2648 LEE AVE
City SANFORD
State NC
Zip Code 27332-5950

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NPI Name Taxonomy Address Enumeration
1073642054 Modern Optical, Inc Technician/Technologist 2648 Lee Ave, Sanford, NC 27332-5950 2007-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1861446338 Liberty Healthcare Group LLC Skilled Nursing Facility 310 Commerce Drive, Sanford, NC 27332 2006-05-20
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1073642054 Modern Optical, Inc Technician/Technologist 2648 Lee Ave, Sanford, NC 27332-5950 2007-03-05
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Competitor

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City SANFORD
Zip Code 27332

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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