Sanders, Timothy Lewis
Sanders, Timothy Lewis is an individual health care provider with primary practice located at 491 30Th St Ste 101, Oakland CA 94609-3052. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sanders, Timothy Lewis can be contacted via phone (510) 444-0603.Contact Information
Primary practice address
491 30Th St Ste 101
Oakland CA 94609-3052
Phone: (510) 444-0603
Fax: (510) 444-6046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5762T | California |
Profile Details
| NPI number | 1235115718 |
|---|---|
| LBN Legal business name | Sanders, Timothy Lewis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235115718 | NPPES |
| California | MEDICAID | SD0057620 |
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