Masden, Timothy Lee

Masden, Timothy Lee is an individual health care provider with primary practice located at 8010 Oak Park Rd Ne , New Salisbury IN 47161-8401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Masden, Timothy Lee can be contacted via phone (812) 366-3147.

Contact Information

Primary practice address
8010 Oak Park Rd Ne New Salisbury IN 47161-8401
Fax: (812) 366-3151
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002067B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 1037DT Kentucky

Profile Details

NPI number 1194725051
LBN Legal business name Masden, Timothy Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 5th, 2010 - about 14 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 1194725051 NPPES
Indiana Other 410045780 RAILROAD MEDICARE
Indiana Other 000000092238 RAILROAD MEDICARE
Indiana MEDICAID 100128160A RAILROAD MEDICARE

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