Provider Demographics
NPI:1295874865
Name:SAGGES, TIMOTHY BENNETT (ABOC)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:BENNETT
Last Name:SAGGES
Suffix:
Gender:M
Credentials:ABOC
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Other - Credentials:
Mailing Address - Street 1:218 S 20TH ST
Mailing Address - Street 2:EYE CANDY VISION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5616
Mailing Address - Country:US
Mailing Address - Phone:215-568-3937
Mailing Address - Fax:215-568-3959
Practice Address - Street 1:218 S 20TH ST
Practice Address - Street 2:EYE CANDY VISION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5616
Practice Address - Country:US
Practice Address - Phone:215-568-3937
Practice Address - Fax:215-568-3959
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician