Provider Demographics
NPI:1467779801
Name:TRUE SIGHT PLLC
Entity Type:Organization
Organization Name:TRUE SIGHT PLLC
Other - Org Name:TIMPERLEY FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:THERIAULT TIMPERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-448-2325
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49734-0464
Mailing Address - Country:US
Mailing Address - Phone:989-448-2325
Mailing Address - Fax:989-448-2326
Practice Address - Street 1:702 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1508
Practice Address - Country:US
Practice Address - Phone:989-448-2325
Practice Address - Fax:989-448-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004115152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI900F90027OtherBLUE CROSS BLUE SHIELD
MI900F90027OtherBLUE CROSS BLUE SHIELD