Provider Demographics
NPI:1497037659
Name:DR. MORTON D. THOMAS AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DR. MORTON D. THOMAS AND ASSOCIATES, P.C.
Other - Org Name:NEW VISION EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORTON
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-771-7202
Mailing Address - Street 1:443 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4629
Mailing Address - Country:US
Mailing Address - Phone:615-771-7202
Mailing Address - Fax:615-771-7211
Practice Address - Street 1:443 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4629
Practice Address - Country:US
Practice Address - Phone:615-771-7202
Practice Address - Fax:615-771-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN0877152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty