# TIMOTHY L. OSIUS JR. O.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588860571
- **Authorized official:** TIMOTHY L. OSIUS JR. O.D. (OWNER OPTOMETRIST)
- **Authorized official phone:** (970) 669-8555

## Contact information

- **Practice address:** 2980 GINNALA DR., SUITE A, LOVELAND, CO 80537-2701
- **Practice address phone:** (970) 669-8555
- **Practice address fax:** (970) 669-8556
- **Mailing address:** 2980 GINNALA DR, SUITE A, LOVELAND, CO 80538-2701
- **Mailing address phone:** (970) 669-8555
- **Mailing address fax:** (970) 669-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | CO-OPT-1610 | CO | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CO-OPT-1610 | COLORADO OPTEMETRIC LIC | CO |