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Contact Information

TIMOTHY R DOSTALL, OD
411 EAST AVE
ELYRIA, OH44035
 Phone: 440-323-5709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIMOTHY R DOSTALL · (Male)

NPI # 1659343432
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/06/2006
Last updated 03/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3387T414
  • OH Medicaid 0462495
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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