Provider Demographics
NPI:1821268848
Name:WILKINS, THOMAS ROBERT (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROBERT
Last Name:WILKINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2410 E RIVERSIDE DR
Mailing Address - Street 2:SUITE H-10
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3083
Mailing Address - Country:US
Mailing Address - Phone:512-344-9775
Mailing Address - Fax:512-344-9827
Practice Address - Street 1:2410 E RIVERSIDE DR
Practice Address - Street 2:SUITE H-10
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3083
Practice Address - Country:US
Practice Address - Phone:512-344-9775
Practice Address - Fax:512-344-9827
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6638152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist