Timothy M Brown, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008505 Issued in IL

Practice address

715 N Walnut St
Mount Carmel, IL 62863-1465

Phone

(618) 263-3165

NPI assigned

Nov 6, 2006

Last updated

Jan 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Timothy M Brown, OD, PC

  • Optometrist
  • Mount Carmel, IL
  • NPI 1376734483
  Medicare reassignment NPD Authorized official
• Talley Medical-Surgical Eye Care Associates PC

  dba Talley Eye Institute

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1154319143

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1093884900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N WALNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631465",
            "telephone_number": "618-263-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N WALNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631465",
            "telephone_number": "618-263-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Beshears, MA
• Alexandra Elizabeth Brewer, R.D.
• Dana Nanette Brewster, MSW, LCSW
• Brooke Hill Management, Inc.
• Cynthia Ann Brown, L.C.P.C.
• Kevin Browning
• Karen Bruce, N.P.
• Andrea Marie Bryan, OTR/L
• Holly Burns
• Samantha Buss, M.S. CCC-SLP

• Optometrist in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.