Provider Demographics
NPI:1023278322
Name:BILLIG OPTICIANS
Entity type:Organization
Organization Name:BILLIG OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BILLIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-253-9920
Mailing Address - Street 1:20 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4626
Mailing Address - Country:US
Mailing Address - Phone:320-253-9920
Mailing Address - Fax:320-253-9920
Practice Address - Street 1:20 9TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4626
Practice Address - Country:US
Practice Address - Phone:320-253-9920
Practice Address - Fax:320-253-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN54111BIOtherBCBS
MN0303510001Medicare NSC