Timothy Jon Wilson O.D.

NPI 1013946615 - Optometrist - 152W00000X

NPI Details
NPI 1013946615
Gender Male
Enumeration Date 07/03/2006
Last Updated 07/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2413 WARDS RD
LYNCHBURG VA, 24502-2103, US
Phone (434) 239-5323
Fax
Business Location
2413 WARDS RD
LYNCHBURG VA, 24502-2103, US
Phone (434) 239-5323
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000652
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According to our database, Dr. Timothy Jon Wilson O.D. NPI is 1013946615, taxonomy code is 152W00000X and license number is 0618000652, license state is located at Virginia. Timothy Jon Wilson O.D. physically located at 2413 Wards Rd, Lynchburg VA, 24502-2103. NPI Number Timothy Jon Wilson O.D. has the Individual type.

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1013946615 NPI number is provided on an as is basis without warranty of any kind. 1013946615 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Jon Wilson O.D. are for informational purposes only.