Leach, Timothy Joseph
Leach, Timothy Joseph is an individual health care provider with primary practice located at 433 Sportsplex Dr Ste 100 , Dripping Springs TX 78620-5359. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leach, Timothy Joseph can be contacted via phone (512) 858-0020.Contact Information
Primary practice address
433 Sportsplex Dr Ste 100
Dripping Springs TX 78620-5359
Phone: (512) 858-0020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1241-391T | Louisiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7174TG | Texas |
Profile Details
| NPI number | 1396746491 |
|---|---|
| LBN Legal business name | Leach, Timothy Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Sep 21st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396746491 | NPPES |
| Louisiana | MEDICAID | 1698644 |
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