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Thomas Alan Banton, O.D.

Optometrist in Charlottesville, VA. Individual provider (NPI-1).

NPI number1720126469
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720126469
Entity type
Individual (NPI-1)
Name
Thomas Alan Banton
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0601001177VAYes

Practice location

2034 Rio Hill Ctr
Charlottesville, VA 22901-1150

Phone 434-978-7750 · Fax 434-975-0822

Mailing address

516 Eastbrook Dr
Charlottesville, VA 22901-1135

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