Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY R LANDIS, OD
Active Sole ProprietorDR. TIMOTHY R LANDIS, OD is a Optometrist healthcare provider located in PETERSON AFB, Colorado. NPI 1578555645 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PETERSON AFB, CO
Registration Details
- NPI Number
- 1578555645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (20.811600072944 yrs)
- Last Updated
- Jan 26, 2022
- Licenses
-
1322 DT (KY)1O73-OD (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
559 VINCENT ST BLDG 959PETERSON AFB, CO, 809141541Browse CO providers · Browse ZIP 80914
- Phone
- 7026533010
- Fax
- 7026533023
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in PETERSON AFB, CO
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC A OWENS | O.D. | 1124208566 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.