Doctor Name: | DR. THOMAS GLENN STINE |
NPI Number: | 1083675219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 3995T973 |
Business Practice Address: | 3575 Maple Ave Sears Optical Zanesville, OH - 437017019 |
Business Phone Number: | 7404521716 |
Business Fax Number: | |
Mailing Address: | 884 Hillgail Cir Sw, PATASKALA |
State: | OH |
Postal Code: | 430629141 |
Phone Number: | 7409642611 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 09/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 3995T973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |