Individual
TIMOTHY ANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1809 DATA DR, HOOVER, AL 35244-1238
(205) 982-5000
(205) 982-5920
Mailing address
1809 DATA DR, HOOVER, AL 35244-1238
(205) 982-5000
(205) 982-5920
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD17TA988
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427183342
GROUP NPI
—
Enumeration date
08/20/2014
Last updated
08/20/2014
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