Individual provider Active NPI

Timothy C. Karg, O.D.

  • Optometrist
  • Wooster, OH
National Provider Identifier
1114995255
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3474T985 Issued in OH
Practice address
370 E Milltown Rd
Wooster, OH 44691-1280
Phone
(330) 345-3871
Fax
(330) 345-2011
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3474T985 OH Primary

Addresses

Primary practice location

370 E Milltown Rd
Wooster, OH 44691-1280

Mailing address

370 E Milltown Rd
Wooster, OH 44691-1280
Phone (330) 345-3871

Other identifiers 1

IdentifierTypeStateIssuer
0534992MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120321000924 OH Practitioner - Optometry 7012021595 Practice locations: Wooster, OH
O20100930044370 OH DME Supplier - Physician - Optometrist 9133246325 Practice locations: Wooster, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 E Milltown Rd
Wooster, OH 44691-1280
Phone (330) 345-3871

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3474T985OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley J. Smith PastSince Apr 5, 2020 Accepting new patients
Eye Surgery Consultants Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1114995255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-3871",
            "fax_number": "330-345-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-3871",
            "fax_number": "330-345-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARG",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3474T985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.