Provider Demographics
NPI:1558496497
Name:THOMAS, CHRISTOPHER (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:THOMAS
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 1:8505 PARK MEADOWS CENTER DR STE 2113
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5108
Mailing Address - Country:US
Mailing Address - Phone:303-917-9842
Mailing Address - Fax:303-568-6380
Practice Address - Street 1:8505 PARK MEADOWS CENTER DR STE 2113
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5108
Practice Address - Country:US
Practice Address - Phone:303-917-9842
Practice Address - Fax:303-568-6380
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT2313152W00000X
COOPT.0002313152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1558496497Medicaid