Individual
DR. TIMOTHY J POIRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904Q
BCBS
NC
01
—
1255491528
PRACTICE GROUP NPI
NC
01
—
2473142A
PRACTICE MEDICARE PIN
NC
05
—
890904Q
—
NC
Enumeration date
08/29/2006
Last updated
07/30/2026
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