Provider Demographics
NPI:1164651071
Name:THOMAS H MURPHY, O.D., INC.
Entity Type:Organization
Organization Name:THOMAS H MURPHY, O.D., INC.
Other - Org Name:EYE DESIGNS OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-929-1169
Mailing Address - Street 1:1689 ARDEN WAY
Mailing Address - Street 2:SUITE 1091
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4030
Mailing Address - Country:US
Mailing Address - Phone:916-929-1169
Mailing Address - Fax:919-929-4189
Practice Address - Street 1:1689 ARDEN WAY
Practice Address - Street 2:SUITE 1091
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4030
Practice Address - Country:US
Practice Address - Phone:916-929-1169
Practice Address - Fax:916-929-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6518T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CC270AMedicare PIN