Individual
DR. TIMOTHY GARLAND JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1851 W MAIN ST, SALEM, VA 24153-3111
(540) 375-3937
(540) 387-4219
Mailing address
1851 W MAIN ST, SALEM, VA 24153-3111
(540) 375-3937
(540) 387-4219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186600
ANTHEM BCBS
VA
01
—
P00301111
RAILROAD MEDICARE
VA
Enumeration date
08/19/2006
Last updated
07/08/2007
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