TIM JOHN CARLSON (NPI# 1750405635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750405635 |
| Entity Type | Individual |
| Full Name | TIM JOHN CARLSON |
| Practice Address |
513 S 13th St Omaha NE 68102-2813 |
| Practice Telephone | 4023440219 |
| Practice Fax Number | 4023414917 |
| Mailing Telephone | 4023440219 |
| Mailing Fax Number | 4023414917 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47080158800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548200892 | Tim Scott Carlson | Pharmacist | 1015 S Broadway, Ste. #3, Minot, ND 58701-4667 | 2006-06-07 |
| 1649380478 | Tim Paul Carlson | Family Medicine | 1615 Pasadena Ave S, Suite 430, South Pasadena, FL 33707-4516 | 2006-08-30 |
| Street Address |
513 S 13TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124573712 | Carlson Optical Inc. | Technician/Technologist | 513 S 13th St, Omaha, NE 68102-2813 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
| 1164548921 | William D Cox | Technician/Technologist | 6767 Maple St, Omaha, NE 68104-3903 | 2007-03-22 |
| 1386777860 | Tommie L Blan Jr. | Technician/Technologist | 8616 N 30th St, Omaha, NE 68112-1808 | 2007-03-13 |
| 1780221515 | Fashion Forward Optical | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132-2978 | 2019-11-27 |
| 1780134916 | Visual Eyes Optical | Technician/Technologist | 515 N 98th St, Ste 2, Omaha, NE 68114-2368 | 2016-10-12 |
| 1124573712 | Carlson Optical Inc. | Technician/Technologist | 513 S 13th St, Omaha, NE 68102-2813 | 2016-08-24 |
| 1861842916 | Lori Louise Hagensen | Technician/Technologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2016-06-20 |
| 1023446200 | Wal-mart Stores, Inc | Technician/Technologist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2013-10-24 |
| 1417221813 | Davids Eyecare Inc | Technician/Technologist | 17255 Davenport St, Suite 139, Omaha, NE 68118-4092 | 2012-03-02 |
| 1467736587 | Alvin Arthur Zipperlen | Technician/Technologist | 6767 Maple St, Omaha, NE 68104 | 2011-10-07 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.