Individual provider Active NPI

Timothy Allan Sinek, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1073501862
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-001469 Issued in AZ
Practice address
1055 S Stapley Dr
Mesa, AZ 85204-5098
Phone
(480) 892-8400
Fax
(602) 508-4830
NPI assigned
Oct 6, 2005
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-001469 AZ Primary

Addresses

Primary practice location

1055 S Stapley Dr
Mesa, AZ 85204-5098

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (480) 892-8400

Other identifiers 2

IdentifierTypeStateIssuer
1007419MedicaidIA
423542MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20090602000376 AZ Practitioner - Optometry 9032002738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-001469AZMDOptometrist
1759IAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD CurrentSince May 10, 2009 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince May 10, 2009 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2020 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Sinek Vision Clinic PC Optometrist PastSince Feb 5, 2004 Accepting new patients
Visionworks Inc Past Accepting new patients
Sinek Vision Clinic PC Optometrist Past Accepting new patients
Sinek Vision Clinic PC Optometrist Past Accepting new patients

Locations (25 of 33)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

2242 W 16th St
Safford, AZ 85546
Phone (928) 428-0068

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

100 Verde Valley School Rd
Ste 105
Sedona, AZ 86351
Phone (928) 284-1289

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

2370 W State Route 89A
Ste A16
Sedona, AZ 86336
Phone (928) 282-1231

Interoperability endpoints

  • Direct secure messaging: timothy.sinek@direct.avp.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1073501862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045098",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINEK",
        "first_name": "TIMOTHY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007419",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.