NPI 1023036696

Timothy Edwards, OD

Practitioner Optometrist Springfield, IL

Practice location

Address: 121 N Grand Ave W, Springfield, IL 62702-2562
Phone: (217) 528-3233
Fax: (217) 528-4511

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0466007549 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1023036696
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.