Provider Demographics
NPI:1750545984
Name:GARNER, THOMAS NEIL (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NEIL
Last Name:GARNER
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 1:12465 W PORTAGE RIVER SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9697
Mailing Address - Country:US
Mailing Address - Phone:419-559-9546
Mailing Address - Fax:
Practice Address - Street 1:12465 W PORTAGE RIVER SOUTH RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-9697
Practice Address - Country:US
Practice Address - Phone:419-559-9546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3667/T920152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist