Provider Demographics
NPI:1255418950
Name:ALEO, THOMAS HENRY (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HENRY
Last Name:ALEO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:HENRY
Other - Last Name:ALEO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:283 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1508
Mailing Address - Country:US
Mailing Address - Phone:781-335-0222
Mailing Address - Fax:
Practice Address - Street 1:283 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-1508
Practice Address - Country:US
Practice Address - Phone:781-335-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0339407Medicaid
MA457258Medicare PIN
MADN8189Medicare PIN