Goldsmith, Timothy J

Goldsmith, Timothy J is an individual health care provider with primary practice located at 1101 1St St Ne , New Prague MN 56071-2197. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Goldsmith, Timothy J can be contacted via phone (952) 758-2080.

Contact Information

Primary practice address
1101 1St St Ne New Prague MN 56071-2197
Phone: (952) 758-2080
Fax: (952) 758-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2401 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 2401 Minnesota

Profile Details

NPI number 1114912573
LBN Legal business name Goldsmith, Timothy J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Nov 27th, 2023 - about 2 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 1114912573 NPPES
Minnesota MEDICAID 951825800

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