Dr. Edmond Hartley Thall is a Gates Mills, Ohio based male Ophthalmologist with 43 years of experience in Ophthalmology. He completed his graduation from Perelman School Of Med At The University Of Pennsylvania in 1981. He is also affiliated with hospitals like Summa Health System. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Edmond Hartley Thall is 42566 for Ophthalmology in Colorado.
Dr. Edmond Hartley Thall is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Edmond Hartley Thall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | M.D. |
| Experience: | 43+ years |
| Medical School Attended: | Perelman School Of Med At The University Of Pennsylvania |
| Graduation Year: | 1981 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 833 Hanover Rd, Gates Mills,
Ohio, 44040-9602 |
| Phone: | 231-220-5369 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3779482914 |
| Enrollment ID: | I20180426002931 |
| NPI Number: | 1063475358 |
| NPI Enumeration Date: | 09 Apr, 2006 |
| NPI Last Update On: | 15 Jan, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edmond Hartley Thall are as mentioned below.
| License Number | Specialization | State | Status | |
| 42566 | Ophthalmology | Colorado | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Summa Health System (360020) | Akron, OH | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Edmond Hartley Thall has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Summa Physicians Inc (2961303532) | 635 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edmond Hartley Thall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 64432017 | Medicaid | Colorado | |
| 127627104 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 833 Hanover Rd,
Gates Mills, Ohio |
| Zip: | 44040-9602 |
| Phone Number: | 231-220-5369 |
| Fax Number: | -- |
Patients can reach Dr. Edmond Hartley Thall at
833 Hanover Rd, Gates Mills, Ohio or can
call to book an appointment on 231-220-5369. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.