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General NPI Number Information
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NPI Number | 1467779801
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Entity Type | Organization
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Legal Business Name | TRUE SIGHT PLLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 702 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-1508
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Country | US
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Telephone | 989-448-2325
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Fax | 989-448-2326
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Provider Business Mailing Address
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Address Line | PO BOX 464
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City | GAYLORD
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State | MI
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Zip | 49734-0464
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Country | US
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Telephone | 989-448-2325
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Fax | 989-448-2326
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIE H THERIAULT TIMPERLEY
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Credential | O.D.
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Telephone | 989-448-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004115
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License Number State | MI
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