Hennie, Timothy James

Hennie, Timothy James is an sole proprietor health care provider with primary practice located at 1910 Jake Alexander Blvd W Suite 101, Salisbury NC 28147-1163. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hennie, Timothy James can be contacted via phone (704) 633-2581.

Contact Information

Primary practice address
1910 Jake Alexander Blvd W Suite 101 Salisbury NC 28147-1163
Phone: (704) 633-2581
Fax: (704) 633-2592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1071 North Carolina

Profile Details

NPI number 1972561306
LBN Legal business name Hennie, Timothy James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Feb 27th, 2013 - about 11 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 1972561306 NPPES
North Carolina Other 561430045 SUPERIOR VISION PLAN
North Carolina Other 2200141 SUPERIOR VISION PLAN
North Carolina Other 51812 SUPERIOR VISION PLAN
North Carolina MEDICAID 8909387 SUPERIOR VISION PLAN
North Carolina Other 110899 SUPERIOR VISION PLAN
North Carolina Other 09387 SUPERIOR VISION PLAN
North Carolina Other 10799 SUPERIOR VISION PLAN
North Carolina Other 48550 SUPERIOR VISION PLAN
North Carolina Other NC01071 SUPERIOR VISION PLAN
North Carolina Other 561430045 SUPERIOR VISION PLAN
North Carolina Other 561430045 SUPERIOR VISION PLAN

Popular Providers