Thomas George Bastholm, OD | |
1540 Savannah Rd, Lewes, DE 19958-1682 | |
(302) 645-2020 | |
(302) 645-2223 |
Full Name | Thomas George Bastholm |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1540 Savannah Rd, Lewes, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295808848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | DEI30001133 (Delaware) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 | Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 |
Grifasi Eyecare And Optical, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958 Phone: 302-644-1039 | |
Richard Salvatore Grifasi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17425 Ocean One Plaza, Unit 2, Lewes, DE 19958 Phone: 302-644-1039 |