MR. Timothy Ray Nolan, LIC. OPTICIAN

NPI #1871640532 in Edgewater, Florida

Provider Information

NPI Number
1871640532
Entity Type
Individual
Name
MR. Timothy Ray Nolan, LIC. OPTICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
LIC. OPTICIAN
Enumeration Date
Jan 4, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
600 N RIDGEWOOD AVE
State
Florida
ZIP Code
32132-1659
Phone
(386) 423-2239

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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