Provider Demographics
NPI:1245222686
Name:KROPP, THOMAS M (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:KROPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 HOOKAHI ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1447
Mailing Address - Country:US
Mailing Address - Phone:808-877-3984
Mailing Address - Fax:808-871-6498
Practice Address - Street 1:305 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5509
Practice Address - Country:US
Practice Address - Phone:386-734-2931
Practice Address - Fax:386-734-2939
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-18200207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL180003810OtherMEDICARE RR
FL64558OtherBCBS
FL64558WOtherMEDICARE
FL180003810OtherMEDICARE RR
FLE18239Medicare UPIN