Timothy Ray Clines O.D.

NPI 1073629283 - Optometrist - 152W00000X

NPI Details
NPI 1073629283
Gender Male
Enumeration Date 08/21/2006
Last Updated 05/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1555 US HIGHWAY 41
SCHERERVILLE IN, 46375-1317, US
Phone (219) 865-6140
Fax (219) 865-9053
Business Location
1657 STONEY CREEK CT
VALPARAISO IN, 46385-6143, US
Phone (219) 531-1624
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18002436
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According to our database, Dr. Timothy Ray Clines O.D. NPI is 1073629283, taxonomy code is 152W00000X and license number is 18002436, license state is located at Indiana. Timothy Ray Clines O.D. physically located at 1555 Us Highway 41, Schererville IN, 46375-1317. NPI Number Timothy Ray Clines O.D. has the Individual type.

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1073629283 NPI number is provided on an as is basis without warranty of any kind. 1073629283 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Ray Clines O.D. are for informational purposes only.