Provider Demographics
NPI:1417015215
Name:GINMAN, THOMAS F (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:GINMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4545 N ORACLE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1781
Mailing Address - Country:US
Mailing Address - Phone:520-888-6955
Mailing Address - Fax:520-888-0354
Practice Address - Street 1:4545 N ORACLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1781
Practice Address - Country:US
Practice Address - Phone:520-888-6955
Practice Address - Fax:520-888-0354
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003957152W00000X
AZAZ 1685152W00000X
GAOPT002547152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist