Individual
DR. TIMOTHY MARTIN MORAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3200 VINE ST, VAMC CINCINNATI, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 475-4469
Mailing address
3200 VINE ST, VAMC CINCINNATI, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 475-4469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3429/T953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434051
—
OH
01
—
759788
BWC PROVIDER NUMBER
OH
Enumeration date
03/23/2006
Last updated
10/10/2008
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