# TIMOTHY JOHN MCAULIFFE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811100761
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 636 | AZ | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 86-0649146 | VISION SERVICE PLAN TAXID | AZ |
| 01 | — | AZ0636 | EYEMED PROVIDER \# | AZ |