Provider Demographics
NPI:1184822744
Name:HAAS, TIM P (OD)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:P
Last Name:HAAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 S OLD SEVIERVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-4548
Mailing Address - Country:US
Mailing Address - Phone:865-609-2020
Mailing Address - Fax:
Practice Address - Street 1:718 S OLD SEVIERVILLE PIKE
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-4548
Practice Address - Country:US
Practice Address - Phone:865-609-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOD0000002406152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist