Timothy Mack

NPI #1225442767 in Dublin, Ohio

Provider Information

NPI Number: 1225442767
Entity Type: Individual
Name: Timothy Mack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Jun 12, 2014
Last Updated: Jun 14, 2014

Practice Location

Address: 7990 SEVERHILL CT
City: Dublin
State: Ohio
ZIP Code: 43016-9235
Phone: (614) 946-1453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X

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