Thomas G Juhl OD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1621 Issued in IA

Legal business name

THOMAS G JUHL OD

Practice address

505 W Jefferson St
Bloomfield, IA 52537-1515

Phone

(641) 664-2325

Fax

(641) 664-3433

NPI assigned

Jun 7, 2008

Last updated

Jun 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas George Juhl, OD

Title

Owner

Phone

(641) 664-2324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1336308089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W JEFFERSON ST",
            "address_2": "PO BOX 319",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371515",
            "telephone_number": "641-664-2325",
            "fax_number": "641-664-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W JEFFERSON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371515",
            "telephone_number": "641-664-2325",
            "fax_number": "641-664-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G JUHL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "JUHL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-664-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165845",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bloomfield, IA
• Providers in Bloomfield, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.