Mason, Timothy
Mason, Timothy is an individual health care provider with primary practice located at 1395 Research Park Dr , Beavercreek OH 45432-2817. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mason, Timothy can be contacted via phone (937) 429-2270.Contact Information
Primary practice address
1395 Research Park Dr
Beavercreek OH 45432-2817
Phone: (937) 429-2270
Fax: (937) 429-5343
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5731 | Ohio |
Profile Details
NPI number | 1245422005 |
---|---|
LBN Legal business name | Mason, Timothy |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2007 |
Last updated | Mar 25th, 2008 - about 17 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 | 1245422005 | NPPES |
Ohio | MEDICAID | 2791171 |
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