Basic Information
| Provider Information | |||||||||
| NPI: | 1013979764 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCKERNAN | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 105 BRANDT DR STE 201 | ||||||||
| Address2: | SCOTT & CHRISTIE AND ASSOCIATES PC | ||||||||
| City: | CRANBERRY TWP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247725420 | ||||||||
| FaxNumber: | 7247725423 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 BRANDT DR STE 201 | ||||||||
| Address2: | SCOTT & CHRISTIE AND ASSOCIATES PC | ||||||||
| City: | CRANBERRY TWP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 160666412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247725420 | ||||||||
| FaxNumber: | 7247725423 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2006 | ||||||||
| LastUpdateDate: | 04/19/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OE006438T | PA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.