Organization
TIM CONRAD, M.D.
Active
Other names
Conrad Eye Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM J CONRAD MD (OWNER)
(502) 899-7778
Entity
Organization
Contact information
Practice address
1919 STATE ST STE 210, NEW ALBANY, IN 47150-6805
(502) 944-6063
Mailing address
PO BOX 6015, LOUISVILLE, KY 40206-0015
(502) 899-7778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01041184
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225196777
IND NPI
IN
01
—
1225196777
IND NPI
KY
05
—
200261230A
—
IN
05
—
6429088500
—
KY
Enumeration date
05/31/2007
Last updated
06/29/2010
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