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Individual
TIMOTHY B SPICER
Active
Individual
TIMOTHY B SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
01486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100024365
PHP
—
01
—
2240323
UNITED HEALTHCARE
—
01
—
3114334
BLUE CROSS BLUE SHIELD
—
01
—
3333333
UMWA
—
01
—
3539796
CIGNA
—
05
—
3599181
—
TN
01
—
410038572
RAILROAD MEDICARE
—
01
—
5948070
AETNA
—
Enumeration date
03/15/2006
Last updated
05/09/2008
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