Dr. Timothy D Root
Ophthalmologist
345 N Clyde Morris Blvd Suite 330
Ormond Beach
, Florida 32174-3114
Dr. Timothy D Root
Ophthalmologist
345 N Clyde Morris Blvd Suite 330
Ormond Beach
, Florida 32174-3114
(386) 672-4244
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Timothy D Root
- 345 N Clyde Morris Blvd Suite 330
- Ormond Beach, FL
- Zip : 32174-3114
- Phone : (386) 672-4244
Second Address
- Dr. Timothy D Root
- 345 N Clyde Morris Blvd Suite 330
- Ormond Beach, FL
- Zip : 32174-3114
- Phone : (386) 672-4244
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 000487 | GA |
National Provider Identifier
| NPI | 1033322078 |
|---|---|
| Provider Name | Dr. Timothy D Root |
| First Address | Ormond Beach, FL 32174-3114 |
| Second Address | Ormond Beach, FL 32174-3114 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 07/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000475900 | (05) | FL |
| AM4852 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.