Provider Demographics
NPI:1366721318
Name:HOBBS, TIMOTHY (OD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:HOBBS
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 1:1130 LONE OAK ROAD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-4540
Mailing Address - Country:US
Mailing Address - Phone:270-415-0245
Mailing Address - Fax:270-415-0248
Practice Address - Street 1:1130 LONE OAK ROAD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003
Practice Address - Country:US
Practice Address - Phone:270-415-0245
Practice Address - Fax:270-415-0248
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1855DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist