Timothy R Landis in Peterson Afb - Optometrist
Timothy R Landis - NPI 1578555645
Timothy R Landis is a Optometrist in Peterson Afb, Colorado. Timothy R Landis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy R Landis is 1578555645. The last update date is 2022-01-26.
Timothy R Landis's current location address is 559 Vincent St Bldg 959, Peterson Afb, Colorado. You can contact this provider via phone number 7026533010 and fax number 7026533023. The mailing address for Timothy R Landis is 559 Vincent St Bldg 959, Peterson Afb, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy R Landis |
|---|---|
| Address | 559 Vincent St Bldg 959, Peterson Afb, Colorado |
| Phone Number | 7026533010 |
| Fax Number | 7026533023 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1578555645 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2022-01-26 |
Provider Mailing Address Detail
| Address | 559 Vincent St Bldg 959 |
|---|---|
| City | Peterson Afb |
| State | Colorado (CO) |
| Post Code | 809141541 |
| Phone Number | 7026533010 |
| Fax Number | 7026533023 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1322 DT |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identifier code issued to Timothy R Landis by the Centers for Medicare & Medicaid Services?
The Timothy R Landis has been assigned the NPI (National Provider Identifier) 1578555645. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy R Landis is geographically located?
The Timothy R Landis is physically situated at the following location: 559 Vincent St Bldg 959, Peterson Afb, CO, 809141541.
What is Timothy R Landis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy R Landis's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When was the Timothy R Landis's 1578555645 issued?
The Timothy R Landis's 1578555645 was issued on 2005-08-16.
When was the Timothy R Landis's information last updated?
The Timothy R Landis's information was last updated on 2022-01-26.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN