person
Tim John Carlson
Optician in Omaha, Nebraska
NPI 1750405635

Tim John Carlson is a Optician based in Omaha, NE and is specialized in Optician. Tim John Carlson practices in Omaha, NE. The NPI Number for Tim John Carlson is 1750405635 and holds a License No. (Nebraska).

The current practice location address for Tim John Carlson is 513 S 13Th St, Omaha, NE and can be reached out via phone at 402-344-0219 and via fax at 402-341-4917.

Location: 513 S 13Th St, Omaha, NE, 68102-2813
person
Provider Profile Details
NPI Number
1750405635
Provider Name
Tim John Carlson
Credential
Provider Entity Type
Individual
Gender
Male
Address
513 S 13Th St, Omaha, NE, 68102-2813
Phone Number
402-344-0219
Fax Number
402-341-4917
Provider Enumeration Date
03/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47080158800 05 NE
institution
Provider Business Practice Location Address Details
Address
513 S 13Th St
City
State
Zip
68102-2813
Phone Number
402-344-0219
Fax Number
402-341-4917
person
Provider Business Mailing Address Details
Address
513 S 13Th St
City
State
Zip
68102-2813
Phone Number
402-344-0219
Fax Number
402-341-4917
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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