Healthcare Provider Details

I. General information

NPI: 1558715565
Provider Name (Legal Business Name): CYBER TIMEZ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 CRYSTAL DR SUITE 1000
ARLINGTON VA
22202-3711
US

IV. Provider business mailing address

145 PEMBRIDGE DR
WINCHESTER VA
22602-6854
US

V. Phone/Fax

Practice location:
  • Phone: 202-827-6883
  • Fax:
Mailing address:
  • Phone: 202-827-6883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN TIBBETTS
Title or Position: CEO
Credential:
Phone: 202-827-6883