Kret, Timothy P
Kret, Timothy P is an individual health care provider with primary practice located at 4825 Camp Bowie Blvd , Fort Worth TX 76107-4150. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Kret, Timothy P can be contacted via phone (817) 731-4646.Contact Information
Primary practice address
4825 Camp Bowie Blvd
Fort Worth TX 76107-4150
Phone: (817) 731-4646
Fax: (817) 731-4646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2288TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2288TG | Texas |
Profile Details
| NPI number | 1669475182 |
|---|---|
| LBN Legal business name | Kret, Timothy P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Aug 30th, 2016 - about 8 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 | 1669475182 | NPPES |
| Texas | MEDICAID | 0934564 | |
| Texas | Other | 80813Q | |
| Texas | Other | 4502490 |
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