Provider Demographics
NPI:1528038395
Name:HANDEL, THOMAS H (OD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:HANDEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 EAST TURKEYFOOT LAKE ROAD
Mailing Address - Street 2:UNIT C
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312
Mailing Address - Country:US
Mailing Address - Phone:330-899-0202
Mailing Address - Fax:330-899-0205
Practice Address - Street 1:919 EAST TURKEYFOOT LAKE ROAD
Practice Address - Street 2:UNIT C
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312
Practice Address - Country:US
Practice Address - Phone:330-899-0202
Practice Address - Fax:330-899-0205
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3945152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH410045106OtherRAILROAD MEDICARE HVC
OH136758OtherANTHEM BCBS AEC
OH387843OtherANTHEM BCBS HVC
OH410021629OtherRAILROAD MEDICARE AEC
OH0866022Medicaid
OH4240872Medicare UPIN