Dale R. Thoman, O.D. PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

MT775 Issued in MT

Legal business name

DALE R. THOMAN, O.D. PLLC

Practice address

2901 Brooks St
(Inside Lenscrafters)
Missoula, MT 59801-7722

Phone

(406) 549-9779

Fax

(406) 549-0635

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dale Thoman, O.D.

Title

Owner

Phone

(406) 750-5436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1740515469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "address_2": "(INSIDE LENSCRAFTERS)",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-549-9779",
            "fax_number": "406-549-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "address_2": "(INSIDE LENSCRAFTERS)",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-549-9779",
            "fax_number": "406-549-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R. THOMAN, O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "THOMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-750-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "MT775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony D'Amico, M.D.
• Kristen Provence Dabbs, PCLC
• Mark Dadmun, M.A.
• Richard Thomas Dahlen, MD
• Kaija Dahlstrom, MS, CCC-SLP
• Elizabeth Dale, PHARM.D.
• Kyle Laird Dale, MD
• Dawn M. Dalili, N.D.
• Melanie Rose Dalpias, ATC
• Mark Dalton, D.O.

• Optometrist in Missoula, MT
• Providers in Missoula, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.