Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON PAUL THOELE, O.D.
ActiveJONATHON PAUL THOELE, O.D. is a Optometrist healthcare provider located in MOUNT STERLING, Illinois. NPI 1114282548 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MOUNT STERLING, IL
Registration Details
- NPI Number
- 1114282548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2012 (14.074705248115 yrs)
- Last Updated
- Feb 22, 2018
- Licenses
-
2012025597 (MO)002553 (IA)046010606 (IL)
Practice Information
- Address
-
105 W MAIN STMOUNT STERLING, IL, 623531223Browse IL providers · Browse ZIP 62353
- Phone
- 2177733055
- Fax
- 2177733522
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.