Thomas, Timothy Charles
Thomas, Timothy Charles is an individual health care provider with primary practice located at 1022 W Ivy Ave , Moses Lake WA 98837-4107. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thomas, Timothy Charles can be contacted via phone (509) 765-7845.Contact Information
Primary practice address
1022 W Ivy Ave
Moses Lake WA 98837-4107
Phone: (509) 765-7845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD3994 | Washington |
Profile Details
| NPI number | 1548250905 |
|---|---|
| LBN Legal business name | Thomas, Timothy Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Dec 21st, 2007 - about 19 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 | 1548250905 | NPPES |
| Washington | MEDICAID | 2030955 |
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