Organization
TIMOTHY R. CORL OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RYAN CORL O.D. (OPTOMETRIST)
(717) 269-5346
Entity
Organization
Contact information
Practice address
100 N LONDONDERRY SQ, PALMYRA, PA 17078-3904
(717) 838-9484
(717) 838-9582
Mailing address
100 N LONDONDERRY SQ, PALMYRA, PA 17078-3904
(717) 838-9484
(717) 838-9582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001986
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022848630001
—
PA
Enumeration date
09/11/2009
Last updated
09/11/2009
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