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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1114912573 | NPPES |
| Minnesota | MEDICAID | 951825800 |
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