Garner, Timothy Ronald

Garner, Timothy Ronald is an individual health care provider with primary practice located at 2100 Se 164Th Ave Suite D 104, Vancouver WA 98683-8934. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garner, Timothy Ronald can be contacted via phone (360) 256-0203.

Contact Information

Primary practice address
2100 Se 164Th Ave Suite D 104 Vancouver WA 98683-8934
Phone: (360) 256-0203
Fax: (360) 256-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003389 Washington

Profile Details

NPI number 1992761522
LBN Legal business name Garner, Timothy Ronald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated May 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992761522 NPPES
Washington MEDICAID 2022432

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