Timothy James Brennan, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

276 Issued in WA

Practice address

235 SW 152ND St
Burien, WA 98166-2307

Phone

(206) 246-6585

Fax

(206) 439-3559

NPI assigned

Jul 7, 2009

Last updated

Jul 7, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rainier Eyecare Inc

  • Optometrist
  • Burien, WA
  • NPI 1336261965
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1093944472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662307",
            "telephone_number": "206-246-6585",
            "fax_number": "206-439-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662307",
            "telephone_number": "206-246-6585",
            "fax_number": "206-439-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Brauneis, LMT
• John Brauneis
• Kristine Susanne Brecht, M.D.
• Janet Anne Bredl, LMP, RBT
• Carla A Bremner, PA/SA
• Alexa Marie Bricker, RN
• Madeline Miranda Bristol, NP
• Kenya Marie Broadnax
• Caitlin Mercedes Brown, LMP
• Kelley Jean Brusoe

• Optician in Burien, WA
• Providers in Burien, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.