Provider Demographics
NPI:1881935260
Name:DR THOMAS E PATRICK & ASSOCIATES, PC
Entity type:Organization
Organization Name:DR THOMAS E PATRICK & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-228-7338
Mailing Address - Street 1:1500 W CHESTNUT ST
Mailing Address - Street 2:WASHINGTON CROWN CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5864
Mailing Address - Country:US
Mailing Address - Phone:724-228-7338
Mailing Address - Fax:
Practice Address - Street 1:1500 W CHESTNUT ST
Practice Address - Street 2:WASHINGTON CROWN CENTER
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5864
Practice Address - Country:US
Practice Address - Phone:724-228-7338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001368152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty