Tim John Carlson

NPI #1750405635 in Omaha, Nebraska

Provider Information

NPI Number
1750405635
Entity Type
Individual
Name
Tim John Carlson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Mar 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
513 S 13TH ST
City
Omaha
ZIP Code
68102-2813
Phone
(402) 344-0219

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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