Individual
DR. TIMOTHY LEE MASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8010 OAK PARK RD NE, NEW SALISBURY, IN 47161-8401
(812) 366-3147
(812) 366-3151
Mailing address
8010 OAK PARK RD NE, NEW SALISBURY, IN 47161-8401
(812) 366-3147
(812) 366-3151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1037DT
KY
152W00000X
Optometrist
Primary
18002067B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092238
ANTHEM BCBS
IN
05
—
100128160A
—
IN
01
—
410045780
RAILROAD MEDICARE
IN
Enumeration date
07/21/2005
Last updated
01/05/2010
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