Foote, Timothy M

Foote, Timothy M is an individual health care provider with primary practice located at 727 Belmont Street , Brockton MA 02301-5666. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Foote, Timothy M can be contacted via phone (508) 586-2725.

Contact Information

Primary practice address
727 Belmont Street Brockton MA 02301-5666
Fax: (508) 586-2770
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1615 Massachusetts

Profile Details

NPI number 1407060361
LBN Legal business name Foote, Timothy M
Credentials DISPENSING OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407060361 NPPES
Massachusetts Other 1506773 MASSHEALTH PROVIDER NO
Massachusetts Other 03306908387 MASSHEALTH PROVIDER NO

Popular Providers