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Mr. Timothy Thomas Baum, OPTICIAN
Optician in Ashtabula, Ohio
NPI 1942355375

Timothy Thomas Baum is a Optician based in Ashtabula, OH and is specialized in Optician. Timothy Thomas Baum practices in Ashtabula, OH and has the professional credentials of OPTICIAN. The NPI Number for Timothy Thomas Baum is 1942355375 and holds a License No. 1996-SC (Ohio).

The current practice location address for Timothy Thomas Baum is 2049 W Prospect Rd, Ashtabula, OH and can be reached out via phone at 440-992-4877 and via fax at 801-459-8867.

Location: 2049 W Prospect Rd, Ashtabula, OH, 44004-6437
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Provider Profile Details
NPI Number
1942355375
Provider Name
Timothy Thomas Baum
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
2049 W Prospect Rd, Ashtabula, OH, 44004-6437
Phone Number
440-992-4877
Fax Number
801-459-8867
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
341707982-001 01 OH MEDICAL MUTUAL OHIO
institution
Provider Business Practice Location Address Details
Address
2049 W Prospect Rd
City
State
Zip
44004-6437
Phone Number
440-992-4877
Fax Number
801-459-8867
person
Provider Business Mailing Address Details
Address
2049 W Prospect Rd
City
State
Zip
44004-6437
Phone Number
440-992-4877
Fax Number
801-459-8867
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1996-SC (Ohio)
Definition
Definition to come...
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