Provider Demographics
NPI:1326098575
Name:VOLCHECK, TIMOTHY EARL (OD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:EARL
Last Name:VOLCHECK
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 1:5011 GROVER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3830
Mailing Address - Country:US
Mailing Address - Phone:402-553-1999
Mailing Address - Fax:402-553-1930
Practice Address - Street 1:5011 GROVER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3830
Practice Address - Country:US
Practice Address - Phone:402-553-1999
Practice Address - Fax:402-553-1930
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE275984Medicare ID - Type UnspecifiedPROVIDER #
NE91939Medicare UPIN