Provider Demographics
NPI:1740265594
Name:THOMAS EDWARD AREY
Entity type:Organization
Organization Name:THOMAS EDWARD AREY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:AREY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-549-7047
Mailing Address - Street 1:957 BAXTER ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3754
Mailing Address - Country:US
Mailing Address - Phone:706-549-7047
Mailing Address - Fax:706-613-5395
Practice Address - Street 1:957 BAXTER ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3754
Practice Address - Country:US
Practice Address - Phone:706-549-7047
Practice Address - Fax:706-613-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001546152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U63320Medicare UPIN
4I2CDRPMedicare ID - Type Unspecified