| Doctor Name: | MARTHA S THOMAS |
| NPI Number: | 1053644781 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 115 W Newton St Versailles, MO - 650841039 |
| Business Phone Number: | 5733786011 |
| Business Fax Number: | 5733786238 |
| Mailing Address: | Po Box 33, VERSAILLES |
| State: | MO |
| Postal Code: | 650841039 |
| Phone Number: | 5733786011 |
| Fax Number: | 5733786238 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |