Dr Thomas A Antonian, OD is a
Optometrist based in East Prov, Rhode Island. Dr Thomas A Antonian is licensed to practice in Rhode Island (license number ODTG00480) and his current practice location is
2728 Pawt Ave, East Prov, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 434-5532.
NPI number for Dr Thomas A Antonian is 1972605905 and his current mailing address is 2728 Pawtucket Ave, East Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972605905.
Healthcare Provider's Profile
| Full Name | Dr Thomas A Antonian |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 2728 Pawt Ave, East Prov, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972605905
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 08/01/2012
Medical Identifiers
Medical identifiers for Dr Thomas A Antonian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972605905 | NPI | - | NPPES |
| 9009886 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2550 (Massachusetts) | Secondary |
| 152W00000X | Optometrist | ODTG00480 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas A Antonian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas A Antonian, OD
2728 Pawtucket Ave,
East Providence, RI 02914
Ph: (401) 434-5532 | Dr Thomas A Antonian, OD
2728 Pawt Ave,
East Prov, RI 02914
Ph: (401) 434-5532 |
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