Garner, Timothy Ronald
Garner, Timothy Ronald is an individual health care provider with primary practice located at 2100 Se 164Th Ave Suite D 104, Vancouver WA 98683-8934. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garner, Timothy Ronald can be contacted via phone (360) 256-0203.Contact Information
Primary practice address
2100 Se 164Th Ave Suite D 104
Vancouver WA 98683-8934
Phone: (360) 256-0203
Fax: (360) 256-0215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003389 | Washington |
Profile Details
| NPI number | 1992761522 |
|---|---|
| LBN Legal business name | Garner, Timothy Ronald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | May 22nd, 2008 - about 17 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 | 1992761522 | NPPES |
| Washington | MEDICAID | 2022432 |
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