Active NPI
Timothy M Westgate, O. D.
- Optometrist
- Seaford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 130001190
- Practice address
- 1301 Bridgeville Hwy
Seaford, DE 19973-1616 - Phone
- (302) 629-9197
- Fax
- (302) 629-3335
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 130001190 | DE | Primary |
Addresses
Primary practice location
1301 Bridgeville Hwy
Seaford, DE 19973-1616
Mailing address
885 S Governors Ave
Dover, DE 19904-4158
Phone (302) 734-5861
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00016 | Other | MEDICARE GROUP PIN | |
| I3-0001190 | Other | DE | LICENSE |
| 000A74H16 | Other | MEDICARE PTAN | |
| 11220847 | Other | CAQH | |
| 1245251313 | Other | MEDICARE GROUP NPI | |
| 000214822 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130001190 | DE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
Locations
885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861
1197 Airport Rd
Milford, DE 19963
Phone (302) 422-2020
1301 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 262-8498
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Milford, DE
- NPI 1144699893
-
- Optometrist
- Dover, DE
- NPI 1215306055
-
- Optometrist
- New Castle, DE
- NPI 1588463632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1093789752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 S GOVERNORS AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199044158",
"telephone_number": "302-734-5861",
"fax_number": "302-734-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BRIDGEVILLE HWY",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199731616",
"telephone_number": "302-629-9197",
"fax_number": "302-629-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTGATE",
"first_name": "TIMOTHY",
"middle_name": "M",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "130001190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "G00016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "I3-0001190",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000A74H16",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11220847",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI",
"identifier": "1245251313",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000214822",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.