Provider Demographics
NPI:1790883296
Name:GOSLING, THOMAS N (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:N
Last Name:GOSLING
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 1:4676 BRIARGLEN LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-6908
Mailing Address - Country:US
Mailing Address - Phone:303-317-2990
Mailing Address - Fax:
Practice Address - Street 1:7539 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3179
Practice Address - Country:US
Practice Address - Phone:303-730-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO2511152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA102124Medicare PIN
U40239Medicare UPIN