Provider Demographics
NPI:1245092576
Name:TOM G DELLINGER OD PLLC
Entity type:Organization
Organization Name:TOM G DELLINGER OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:DELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-435-2020
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:CHERRYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28021-0160
Mailing Address - Country:US
Mailing Address - Phone:704-435-2020
Mailing Address - Fax:704-435-5267
Practice Address - Street 1:201 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:CHERRYVILLE
Practice Address - State:NC
Practice Address - Zip Code:28021-2805
Practice Address - Country:US
Practice Address - Phone:704-435-2020
Practice Address - Fax:704-435-5267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty