Provider Demographics
NPI:1144533936
Name:CHWE, THOMAS (OD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:CHWE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:TAYOUNG
Other - Middle Name:THOMAS
Other - Last Name:CHWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2441 E FORT KING ST # 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2558
Mailing Address - Country:US
Mailing Address - Phone:352-732-8404
Mailing Address - Fax:
Practice Address - Street 1:2441 E FORT KING ST # 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2558
Practice Address - Country:US
Practice Address - Phone:352-732-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2646152W00000X
FLOPC6416152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist