Provider Demographics
NPI:1952410532
Name:NAGY, THOMAS F (OD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:NAGY
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 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3600 TOWNE BLVD STE B
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-5543
Practice Address - Country:US
Practice Address - Phone:513-424-5217
Practice Address - Fax:513-424-0205
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4131/T1002152W00000X
KY1443DT152W00000X
OHOPT.004131152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000122757OtherANTHEM
KY740704Medicare PIN
OHNA0715064Medicare PIN
OHU31044Medicare UPIN