DR. Timothy Edwards, O.D.

NPI #1023036696 in Springfield, Illinois

Provider Information

NPI Number: 1023036696
Entity Type: Individual
Name: DR. Timothy Edwards, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 18, 2006
Last Updated: Nov 16, 2007

Practice Location

Address: 121 N GRAND AVE W
City: Springfield
State: Illinois
ZIP Code: 62702-2562
Phone: (217) 528-3233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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