TIMOTHY D MACK

Dr TIMOTHY D MACK is a male medical professional, specializing in Optometry. He graduated in 2010 from Ohio State University - College Of Optometry.

Contact

6044 W HWY 74
INDIAN TRAIL
NC
280793591

Tel:

TIMOTHY D MACK Information

Npi 1225442767
Pac Id 7113249558
Professional Enrollment Id I20171205000156
Last Name MACK
First Name TIMOTHY
Middle Name D
Suffix
Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2010
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 6044 W HWY 74
Line 2 Street Address
Marker Of Address Line 2 Suppression
City INDIAN TRAIL
State NC
Zip Code 280793591
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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