Timothy Arthur Briggs, O.D.
Individual provider Active NPI Optometrist · Perry, UT
NPI 1124125745 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124125745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 110706-9934 (UT)
- Practice address
- 1200 S Commerce Way
Vision Center
Perry, UT 84302-3117 - Phone
- (435) 734-9843
- Fax
- (435) 734-9848
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Networks
- UT PPO D-SNP
- UT PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 110706-9934 | UT | Yes |
Addresses
Primary practice location
1200 S Commerce Way
Vision Center
Perry, UT 84302-3117
Mailing address
1200 S Commerce Way
Vision Center
Perry, UT 84302-3117
Phone (435) 734-9843
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27890 | Other | UT | SPECTERA |
Other providers in Perry, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.