Provider Demographics
NPI:1689794703
Name:NORTON, WILBER TIMOTHY (OD)
Entity Type:Individual
Prefix:
First Name:WILBER
Middle Name:TIMOTHY
Last Name:NORTON
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 1:2000 S UNIVERSITY AVE
Mailing Address - Street 2:STE E
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-3603
Mailing Address - Country:US
Mailing Address - Phone:870-535-8900
Mailing Address - Fax:870-535-8912
Practice Address - Street 1:2000 S UNIVERSITY AVE
Practice Address - Street 2:STE E
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-3603
Practice Address - Country:US
Practice Address - Phone:870-535-8900
Practice Address - Fax:870-535-8912
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2266152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR49106Medicare PIN