Provider Demographics
NPI:1558608786
Name:THOMPSON & SJAARDA, P.A.
Entity Type:Organization
Organization Name:THOMPSON & SJAARDA, P.A.
Other - Org Name:RETINA SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TILYNN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-296-9700
Mailing Address - Street 1:6569 N CHARLES ST STE 605
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6833
Mailing Address - Country:US
Mailing Address - Phone:410-296-9700
Mailing Address - Fax:410-296-9705
Practice Address - Street 1:9700 PATUXENT WOODS DR STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2938
Practice Address - Country:US
Practice Address - Phone:410-772-9700
Practice Address - Fax:410-772-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty