Provider Demographics
NPI:1528170859
Name:LABBE, THOMAS EARL (OD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EARL
Last Name:LABBE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1470
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-7470
Mailing Address - Country:US
Mailing Address - Phone:940-549-7011
Mailing Address - Fax:940-549-0252
Practice Address - Street 1:2121 HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4615
Practice Address - Country:US
Practice Address - Phone:940-549-7011
Practice Address - Fax:940-549-0252
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3149TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E49EMedicare ID - Type Unspecified
TXT14306Medicare UPIN