Timothy J O'Shea

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

633 Issued in NV

Practice address

5065 Pyramid Lake Rd
Sparks, NV 89436-7703

Phone

(775) 425-9335

Fax

(775) 425-9337

NPI assigned

Nov 3, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1033362074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 PYRAMID LAKE RD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367703",
            "telephone_number": "775-425-9335",
            "fax_number": "775-425-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 PYRAMID LAKE RD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367703",
            "telephone_number": "775-425-9335",
            "fax_number": "775-425-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NV",
            "license": "633",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG002150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick O'Donnell, MD
• Katherine Ann O'Gorman, DDS
• Julia O'Leary, APRN, FNP, PMHNP-BC
• Michael Lynn O'Leary, RPH
• Hannah O'Neill, PT
• Pamela Obah, PHARMD
• Occupational Health Centers of the Southwest, P.a.
• Andrea Oda
• Nathan Oda
• Daisy Ojeda

• Corneal and Contact Management Optometrist in Sparks, NV
• Providers in Sparks, NV by specialty
• Corneal and Contact Management Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.