Organization
JEFFREY L TIMKO OD PA
Active
Other names
Total Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L TIMKO OD (OPTOMETRIST PRESIDENT)
(386) 734-1766
Entity
Organization
Contact information
Practice address
840 N STONE ST, DELAND, FL 32720-3256
(386) 734-1766
(386) 740-7866
Mailing address
840 N STONE ST, DELAND, FL 32720-3256
(386) 734-1766
(386) 740-7866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1119
FL
152W00000X
Optometrist
OPC2236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079146600
—
FL
Enumeration date
01/22/2007
Last updated
05/05/2010
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