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Contact Information

TIMOTHY D BOOTS, OD
1783 S WASHINGTON ST
SUITE 111
NAPERVILLE, IL60565-2462
 Phone: 630-961-5255
 Fax: 630-961-0335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIMOTHY D BOOTS · (Male)

NPI # 1154494169
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/16/2006
Last updated 08/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046-008982
  • IN License # 18002624B
  • IL Other 09932239 BCBS PROVIDER NUMBER
  • IL Other IL8982 EYEMED PROVIDER NUMBER
  • IL Other 9355873 PHCS PROVIDER ID NUMBER
  • IL Other 25285 SPECTERA PROVIDER NUMBER
  • IL Other 36-4167298 VSP PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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