Timothy Edward Braim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004260-1 Issued in NY

Practice address

228 Delaware Ave
Delmar, NY 12054-1244

Phone

(518) 439-7012

Fax

(518) 541-3757

NPI assigned

Aug 17, 2006

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Pennsylvania College of Optometry, 1983

Medicare assignment

May accept Medicare assignment

Group practices

New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

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.

• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment Care Compare group NPD
• Buenau's Opticians Inc

  • Durable Medical Equipment & Medical Supplies
  • Delmar, NY
  • NPI 1659425650
  Medicare reassignment NPD
• Bay Optical, Inc

  • Optician
  • Glens Falls, NY
  • NPI 1073681169
  NPD (past)
• Dinapoli & Dinapoli, Inc.

  • Eyewear Supplier
  • Delmar, NY
  • NPI 1265509442
  NPD (past)
• Elle NP in Family Health, PLLC

  • Family Nurse Practitioner
  • Saratoga Springs, NY
  • NPI 1932769361
  NPD (past)
• Glens Falls Optometry PC

  dba Glens Falls Vision Care

  • Optometrist
  • Queensbury, NY
  • NPI 1003958307
  NPD (past)
• Hectorpt Senior Rehabilitation Services, PT, OT, SLP, PLLC

  • Geriatric Physical Therapist
  • Clifton Park, NY
  • NPI 1093860595
  NPD (past)
• O'Leary Chiropractic, PLLC

  • Chiropractor
  • Queensbury, NY
  • NPI 1447424981
  NPD (past)
• R.G. Psychological Services, P.C.

  • Psychologist
  • Lynbrook, NY
  • NPI 1720037427
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1104939651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIGHVIEW WAY",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183641",
            "telephone_number": "518-859-3936",
            "fax_number": "518-541-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541244",
            "telephone_number": "518-439-7012",
            "fax_number": "518-541-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIM",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004260-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00854348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khrystina Bevilacqua, LMSW
• Mary G Bilik, ATR, LCAT
• Richard Paul Blaber, M.D.
• Nicole Anne Bowden
• Kathleen Ann Brady, M.D.
• Robert Brand, DDS
• Tara B Bremer, M.A.
• Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C (Capital Area Christian Counseling Asso)
• Lorraine E. Briggs, P.T.
• Lilith Michele Brodsky, AU.D

• Optometrist in Delmar, NY
• Providers in Delmar, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.