Timothy Corgan is a Optometrist in Marinette, Wisconsin. Timothy Corgan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy Corgan is 1790731743. The last update date is 2023-03-07.
Timothy Corgan's current location address is 1400 University Dr, Marinette, Wisconsin. You can contact this provider via phone number 7157324181. The mailing address for Timothy Corgan is 1400 University Dr, Marinette, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Corgan |
|---|---|
| Address | 1400 University Dr, Marinette, Wisconsin |
| Phone Number | 7157324181 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1790731743 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1400 University Dr |
|---|---|
| City | Marinette |
| State | Wisconsin (WI) |
| Post Code | 541435105 |
| Phone Number | 7157324181 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2655-035 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38597500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy Corgan by the Centers for Medicare & Medicaid Services?
The Timothy Corgan has been assigned the NPI (National Provider Identifier) 1790731743 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Timothy Corgan is located?
The Timothy Corgan is situated at the following address: 1400 University Dr, Marinette, WI, 541435105.
What is Timothy Corgan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Corgan is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date was the 1790731743 assigned to Timothy Corgan?
The Timothy Corgan was issued its 1790731743 on 2006-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Timothy Corgan most recently updated or revised?
The details related to Timothy Corgan, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.