MR. THOMAS E. DEPUTY


Address: 3339 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-7981
Phone: 5305444144

MR. THOMAS E. DEPUTY (NPI# 1730380015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730380015
Entity Type Individual
Full Name MR. THOMAS E. DEPUTY
Practice Address 3339 Lake Tahoe Blvd
South Lake Tahoe
CA 96150-7981
Practice Telephone 5305444144
Practice Fax Number 5305441702
Mailing Telephone 5305444144
Mailing Fax Number 5305441702
Enumeration Date 2007-05-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
D2014 CA Eye and Vision Services Providers

Office Location

Street Address 3339 LAKE TAHOE BLVD
City SOUTH LAKE TAHOE
State CA
Zip Code 96150-7981

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1245663194 Sheila Marie Gwin Behavioral Analyst 2111south Ave, South Lake Tahoe, CA 96150 2013-08-14
1164785598 Launa Jean Martin Doula 1399 Bozeman Dr, South Lake Tahoe, CA 96150 2012-06-20
1881957355 Elizabeth Marilyn Mcnamara Emergency Medicine Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 2012-06-20
1295034627 Dana Elizabeth Cox Chiropractor 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 2011-03-24
1639485162 April Lyn Westfall Dentist 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 2010-08-21
1700199270 Rollie E Rohnow Pharmacist 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 2010-07-26
1699000455 Ellen Newell Mccullough Physical Therapist 1900 High Meadow Trail, South Lake Tahoe, CA 96150 2009-10-13
1093941148 Ashley Elizabeth Bedell Counselor 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 2009-06-03
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH LAKE TAHOE
Zip Code 96150

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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