Male or Other

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)

Code

156FX1800X

Primary Taxonomy

Yes

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

Provider Address

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