Fields, Timothy Reed

Fields, Timothy Reed is an sole proprietor health care provider with primary practice located at 2320 N Belt Hwy , Saint Joseph MO 64506-2208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fields, Timothy Reed can be contacted via phone (816) 233-5685.

Contact Information

Primary practice address
2320 N Belt Hwy Saint Joseph MO 64506-2208
Fax: (816) 233-8896
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO2555 Missouri

Profile Details

NPI number 1497731764
LBN Legal business name Fields, Timothy Reed
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Jun 22nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497731764 NPPES
Missouri MEDICAID 311989701

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