| Doctor Name: | MR. THOMAS J TESSMER |
| NPI Number: | 1376750380 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICENSED OPTICIAN |
| License Number: | |
| Business Practice Address: | 14455 W Grand Ave Ste 102 Surprise, AZ - 853747196 |
| Business Phone Number: | 6235462080 |
| Business Fax Number: | |
| Mailing Address: | 14455 W Grand Ave, Ste 102 SURPRISE |
| State: | AZ |
| Postal Code: | 853747194 |
| Phone Number: | 6235462080 |
| Fax Number: | 6235463915 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 06/26/2008 |
| 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. |