Provider Demographics
NPI:1710948427
Name:MCDONALD, THOMAS J (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1815 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4219
Mailing Address - Country:US
Mailing Address - Phone:925-817-0496
Mailing Address - Fax:925-954-6939
Practice Address - Street 1:1815 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4219
Practice Address - Country:US
Practice Address - Phone:925-817-0496
Practice Address - Fax:925-954-6939
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2020-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG80074207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G71287Medicare UPIN