Timothy J Goldsmith
Optometrist Optomitrist - Corneal and Contact Lenses
1101 1st St Ne
New Prague
, Minnesota 56071-2197
Timothy J Goldsmith
Optometrist Optomitrist - Corneal and Contact Lenses
1101 1st St Ne
New Prague
, Minnesota 56071-2197
(952) 758-2080
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Timothy J Goldsmith
- Po Box 261
- New Prague, MN
- Zip : 56071-0261
- Phone : (952) 758-2080
Second Address
- Timothy J Goldsmith
- 1101 1st St Ne
- New Prague, MN
- Zip : 56071-2197
- Fax : (952) 758-5922
- Phone : (952) 758-2080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2401 | MN |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2401 | MN |
National Provider Identifier
| NPI | 1114912573 |
|---|---|
| Provider Name | Timothy J Goldsmith |
| First Address | New Prague, MN 56071-0261 |
| Second Address | New Prague, MN 56071-2197 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 02/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 951825800 | (05) | MN |
| U33515 | (02) | MN |
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.