Provider Demographics
NPI:1558353409
Name:TALKIE, THOMAS EDWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:TALKIE
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 1:5101 ASHLEY PHOSPHATE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-2832
Mailing Address - Country:US
Mailing Address - Phone:843-767-2328
Mailing Address - Fax:
Practice Address - Street 1:5101 ASHLEY PHOSPHATE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-2832
Practice Address - Country:US
Practice Address - Phone:843-767-2328
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist