Provider Demographics
NPI:1770856353
Name:TIMOTHY W JOYNER OD INC
Entity type:Organization
Organization Name:TIMOTHY W JOYNER OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-882-2718
Mailing Address - Street 1:3101 ACTON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-4712
Mailing Address - Country:US
Mailing Address - Phone:410-882-2718
Mailing Address - Fax:
Practice Address - Street 1:280 WOODWARD RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4677
Practice Address - Country:US
Practice Address - Phone:410-857-9685
Practice Address - Fax:410-857-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE130001330152W00000X
VA0618002103152W00000X
MDTA2102152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty