Earley, Timothy W.
Earley, Timothy W. is an individual health care provider with primary practice located at 4463 Weymouth Rd , Medina OH 44256-9249. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Earley, Timothy W. can be contacted via phone (330) 722-2150.Contact Information
Primary practice address
4463 Weymouth Rd
Medina OH 44256-9249
Phone: (330) 722-2150
Fax: (330) 722-2055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4924/T1794 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4924/T1794 | Ohio |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4924/T1794 | Ohio |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4924/T1794 | Ohio |
Profile Details
| NPI number | 1629065149 |
|---|---|
| LBN Legal business name | Earley, Timothy W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Dec 23rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629065149 | NPPES |
| Ohio | Other | 410040999 | MEDICARE RAILROAD |
| Ohio | Other | 5408550 | MEDICARE RAILROAD |
| Ohio | Other | 341704134TE | MEDICARE RAILROAD |
| Ohio | Other | 000000230621 | MEDICARE RAILROAD |
| Ohio | Other | 5086030 | MEDICARE RAILROAD |
| Ohio | Other | 0488300001 | MEDICARE RAILROAD |
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