Tim P Kret Od, Pa in Fort Worth - Optometrist

Tim P Kret Od, Pa - NPI 1922001445

Tim P Kret Od, Pa is a Optometrist in Fort Worth, Texas. Tim P Kret Od, Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tim P Kret Od, Pa is 1922001445. The last update date is 2011-11-09.

Tim P Kret Od, Pa's current location address is 3963 Boat Club Road, Fort Worth, Texas. You can contact this provider via phone number 8172377153 and fax number 8172377123. The mailing address for Tim P Kret Od, Pa is 3963 Boat Club Road, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tim P Kret Od, Pa
Address 3963 Boat Club Road, Fort Worth, Texas
Phone Number 8172377153
Fax Number 8172377123
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kret P Tim
Credentials OD
Telephone Number 8172377153

NPI Number Detail

NPI Number 1922001445
Provider Enumeration Date 2005-05-30
Last Updated Date 2011-11-09

Provider Mailing Address Detail

Address 3963 Boat Club Road
City Fort Worth
State Texas (TX)
Post Code 761350
Phone Number 8172377153
Fax Number 8172377123

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2288TG
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0058FC TX BCBS
1696338 TX --

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FAQs about Tim P Kret Od, Pa

What is the unique identifier code issued to Tim P Kret Od, Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Tim P Kret Od, Pa has been assigned the NPI (National Provider Identifier) 1922001445. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Tim P Kret Od, Pa is physically located?

The Tim P Kret Od, Pa is physically situated at the following address: 3963 Boat Club Road, Fort Worth, TX, 761350.

What is the area of specialization for Tim P Kret Od, Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tim P Kret Od, Pa is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

When did Tim P Kret Od, Pa receive its 1922001445 assignment?

The Tim P Kret Od, Pa was assigned its 1922001445 on 2005-05-30, which is the date when this unique identifier was issued to the organization.

When was the information regarding Tim P Kret Od, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tim P Kret Od, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-09.

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