Individual
TIMOTHY B SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
622 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 681-1234
(865) 982-9746
Mailing address
1928 ALCOA HWY, SUITE 324, KNOXVILLE, TN 37920-1502
(865) 524-9871
(865) 305-6695
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
01486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100024365
PHP
—
01
—
2240323
UNITED HEALTHCARE
—
01
—
3114334
BLUE CROSS BLUE SHIELD
—
01
—
3333333
UMWA
—
01
—
3539796
CIGNA
—
05
—
3599181
—
TN
01
—
410038572
RAILROAD MEDICARE
—
01
—
5948070
AETNA
—
Enumeration date
03/15/2006
Last updated
05/09/2008
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