Brandon Mark Thomas
Brandon Mark Thomas is an Optician in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
2125 NW Stewart PkwyRoseburg, OR 97471-1693
Phone: (541) 957-8552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 253296 (OR) |
|---|
Record details
| NPI number | 1659147791 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 29, 2023 |
| Last updated in NPPES | November 29, 2023 |
| Certification date | November 15, 2023 |
| Mailing address | 552 W Center St, Roseburg, OR 97471-2319 |
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