Tim J. Carlson
Optician in Omaha, NE(View on Map)
Full Name
Tim John Carlson
NPI Number
1750405635
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/18/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
513 S 13TH ST
513 S 13TH ST
City
Omaha
Omaha
State
NE
NE
Postal Code
68102-2813
68102-2813
Country
US
US
Telephone Number
(402) 344-0219
(402) 344-0219
Identifiers
Identifier
47080158800
Identifier State
NE
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007