Provider Demographics
NPI:1326390667
Name:THOMAS, SHEILA M (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FOXCARE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2681
Mailing Address - Country:US
Mailing Address - Phone:607-432-1262
Mailing Address - Fax:
Practice Address - Street 1:1 FOXCARE DR STE 100
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2681
Practice Address - Country:US
Practice Address - Phone:607-432-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008995156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician