DR. Timothy R Landis, OD

NPI #1578555645 in Peterson Afb, Colorado

Provider Information

NPI Number: 1578555645
Entity Type: Individual
Name: DR. Timothy R Landis, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 16, 2005
Last Updated: Jan 26, 2022

Practice Location

Address: 559 VINCENT ST BLDG 959
City: Peterson Afb
State: Colorado
ZIP Code: 80914-1541
Phone: (702) 653-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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