person
Mr. Timothy Ray Nolan, LICOPTICIAN
Optician in Edgewater, Florida
NPI 1871640532

Timothy Ray Nolan is a Optician based in Edgewater, FL and is specialized in Optician. Timothy Ray Nolan practices in Edgewater, FL and has the professional credentials of LICOPTICIAN. The NPI Number for Timothy Ray Nolan is 1871640532 and holds a License No. DO2275 (Florida).

The current practice location address for Timothy Ray Nolan is 600 N Ridgewood Ave, Edgewater, FL and can be reached out via phone at 386-423-2239 and via fax at 386-427-8586.

Location: 600 N Ridgewood Ave, Edgewater, FL, 32132-1659
person
Provider Profile Details
NPI Number
1871640532
Provider Name
Timothy Ray Nolan
Credential
LICOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
600 N Ridgewood Ave, Edgewater, FL, 32132-1659
Phone Number
386-423-2239
Fax Number
386-427-8586
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 N Ridgewood Ave
City
State
Zip
32132-1659
Phone Number
386-423-2239
Fax Number
386-427-8586
person
Provider Business Mailing Address Details
Address
600 N Ridgewood Ave
City
State
Zip
32132-1659
Phone Number
386-423-2239
Fax Number
386-427-8586
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO2275 (Florida)
Definition
Definition to come...
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