Provider Demographics
NPI:1740218486
Name:OSIUS, TIMOTHY L JR (OD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:L
Last Name:OSIUS
Suffix:JR
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 1:2980 GINNALA DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2701
Mailing Address - Country:US
Mailing Address - Phone:970-669-8555
Mailing Address - Fax:970-669-8556
Practice Address - Street 1:2980 GINNALA DR
Practice Address - Street 2:SUITE A
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2701
Practice Address - Country:US
Practice Address - Phone:970-669-8555
Practice Address - Fax:970-669-8556
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-OPT-1610152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO-OPT-1610OtherCOLORADO OPTOMETRIC LIC.
COMO 0145905OtherDEA LICENSE NUMBER
COMO 0145905OtherDEA LICENSE NUMBER
COU46824Medicare UPIN
CO5387740001Medicare NSC