Individual
DR. TIMOTHY JOSEPH NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
27101 PIONEER HWY, STANWOOD, WA 98292
(360) 629-9535
(360) 629-9536
Mailing address
PO BOX 664, STANWOOD, WA 98292
(360) 629-9535
(360) 629-9536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1505TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022689
—
WA
01
—
410007658
MEDICARE RR
WA
Enumeration date
09/21/2006
Last updated
04/16/2008
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