Provider Demographics
NPI:1588636484
Name:THOMAS, ERIC R (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6601 S MINNESOTA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2564
Mailing Address - Country:US
Mailing Address - Phone:605-336-6294
Mailing Address - Fax:605-336-0266
Practice Address - Street 1:6601 S MINNESOTA AVE STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-336-6294
Practice Address - Fax:605-336-0266
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6006207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1871589531OtherAMERICA'S PPO
MN624D7THOtherMNBS
MN135845OtherUCARE
SD4993172OtherWELLMARK OF SD
MN135845OtherUCARE MN
SD6300710Medicaid
17788OtherAVERA HEALTH PLAN
NE46031185613Medicaid
MN542468000Medicaid
61096OtherSANFORD HEALTH PLAN
HP79508OtherHEALTHPARTNERS
IA460311856OtherWELLMARK OF IA
SD6006OtherDAKOTACARE
928181051321OtherPREFERRED ONE
17788OtherAVERA HEALTH PLAN
IA460311856OtherWELLMARK OF IA
MN542468000Medicaid
SDS101576Medicare PIN