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Contact Information

TIMOTHY J NIXON, OD
27101 PIONEER HWY
STANWOOD, WA98292
 Phone: 360-629-9535
 Fax: 360-629-9536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIMOTHY J NIXON · (Male)

NPI Number 1912005984
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/21/2006
Last updated 04/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 1505TX
  • WA Medicaid 2022689
  • WA Other 410007658 MEDICARE RR
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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