Oconnor, Timothy Albert

Oconnor, Timothy Albert is an individual health care provider with primary practice located at 355 N Main St , North Brookfield MA 01535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Oconnor, Timothy Albert can be contacted via phone (508) 867-3755.

Contact Information

Primary practice address
355 N Main St North Brookfield MA 01535
Phone: (508) 867-3755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3786 Massachusetts

Profile Details

NPI number 1245206440
LBN Legal business name Oconnor, Timothy Albert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245206440 NPPES
Massachusetts MEDICAID 9777385
Massachusetts Other MA93786
Massachusetts Other MA3786
Massachusetts Other 043296176001
Massachusetts Other 14021
Massachusetts Other 7617
Massachusetts Other 20799
Massachusetts Other 2634580
Massachusetts Other W20119
Massachusetts MEDICAID 0392006
Massachusetts Other 2203019
Massachusetts Other 57106
Massachusetts Other 152068
Massachusetts Other 5088673755

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