Provider Demographics
NPI:1730292046
Name:BRITTON, THOMAS M (OD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:BRITTON
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 1:1650 E MANSFIELD ST
Mailing Address - Street 2:PO BOX 744
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820-2014
Mailing Address - Country:US
Mailing Address - Phone:419-562-0744
Mailing Address - Fax:419-562-3861
Practice Address - Street 1:1650 E MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-2014
Practice Address - Country:US
Practice Address - Phone:419-562-0744
Practice Address - Fax:419-562-3861
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4086152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0751717Medicaid
OHT91557Medicare UPIN
OH0642822Medicare ID - Type Unspecified