Timmons, Garold Lewis
Timmons, Garold Lewis is an individual health care provider with primary practice located at 2440 E 5Th St , Tyler TX 75701-3525. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Timmons, Garold Lewis can be contacted via phone (903) 595-0500.Contact Information
Primary practice address
2440 E 5Th St
Tyler TX 75701-3525
Phone: (903) 595-0500
Fax: (903) 595-1212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3428TG | Texas |
Profile Details
| NPI number | 1669465704 |
|---|---|
| LBN Legal business name | Timmons, Garold Lewis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 17th, 2010 - about 16 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 | 1669465704 | NPPES |
| Texas | Other | 80315Q | BLUE CROSS BLUE SHIELD |
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