Doctor Name: | TIMOTHY J GOLDSMITH |
NPI Number: | 1114912573 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 2401 |
Business Practice Address: | 112 Main St E Po 261 New Prague, MN - 560712440 |
Business Phone Number: | 9527582080 |
Business Fax Number: | |
Mailing Address: | Po Box 261, NEW PRAGUE |
State: | MN |
Postal Code: | 560710261 |
Phone Number: | 9527582080 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |