Individual
DR. GAROLD LEWIS TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2440 E 5TH ST, TYLER, TX 75701-3525
(903) 595-0500
(903) 595-1212
Mailing address
2440 E 5TH ST, TYLER, TX 75701-3525
(903) 595-0500
(903) 595-1212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3428TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80315Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/24/2005
Last updated
12/17/2010
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