Provider Demographics
NPI:1598804361
Name:THOMAS A CABLE OD INC
Entity Type:Organization
Organization Name:THOMAS A CABLE OD INC
Other - Org Name:MAUMEE CENTER FOR EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CABLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-891-1023
Mailing Address - Street 1:1657 HOLLAND RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1661
Mailing Address - Country:US
Mailing Address - Phone:419-891-1023
Mailing Address - Fax:419-891-1138
Practice Address - Street 1:1657 HOLLAND RD
Practice Address - Street 2:SUITE D
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1661
Practice Address - Country:US
Practice Address - Phone:419-891-1023
Practice Address - Fax:419-891-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3016152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1477592715OtherTHOMAS A CABLE OD INC