Provider Demographics
NPI:1497707921
Name:CONNOR, THOMAS B JR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:CONNOR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:925 N 87TH ST
Mailing Address - Street 2:THE EYE INSTITUTE
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4812
Mailing Address - Country:US
Mailing Address - Phone:414-456-7868
Mailing Address - Fax:414-456-6300
Practice Address - Street 1:925 N 87TH ST
Practice Address - Street 2:THE EYE INSTITUTE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4812
Practice Address - Country:US
Practice Address - Phone:414-456-7868
Practice Address - Fax:414-456-6300
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2013-03-13
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Provider Licenses
StateLicense IDTaxonomies
WI35377207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1497707921Medicaid
180024944OtherRAILROAD MEDICARE
002000113COtherHUMANA
002000113COtherHUMANA
180024944OtherRAILROAD MEDICARE
WI1497707921Medicaid