Individual
DR. JEFFREY RYAN TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
121 VICTORIA COMMONS BLVD STE 101, DELAND, FL 32724-7773
(386) 271-0991
(386) 469-9272
Mailing address
121 VICTORIA COMMONS BLVD STE 101, DELAND, FL 32724-7773
(386) 271-0991
(386) 469-9272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249200
—
FL
01
—
36033
BCBS
FL
Enumeration date
02/06/2007
Last updated
02/06/2024
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