Timothy Scott Gibbons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100526 Issued in ID

Practice address

310 2ND St S
Nampa, ID 83651-3765

Phone

(208) 467-1361

Fax

(208) 467-9008

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Southern College of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Group practices

LWK P CGroup PAC ID 5890824247, 14 clinicians

Eyecare Associates of Nampa PAGroup PAC ID 0244238004, 6 clinicians

Eyecare Associates of KunaGroup PAC ID 5597094417, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Quality

77.91

Improvement activities

40

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 and National Provider Directory roles.

• Eyecare Associates of Kuna

  • Optometrist
  • Kuna, ID
  • NPI 1962067538
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Nampa PA

  • Optometrist
  • Nampa, ID
  • NPI 1134204100
  Medicare reassignment Care Compare group NPD
• LWK, P.C.

  • Optometrist
  • Boise, ID
  • NPI 1851624019
  Medicare reassignment Care Compare group NPD
• Emmett Eye Center, PLLC

  • Optometrist
  • Emmett, ID
  • NPI 1811269350
  Medicare reassignment NPD
• Eye Pros Treasure Valley

  • Optometrist
  • Meridian, ID
  • NPI 1083370340
  Medicare reassignment NPD
• Jeffrey C. Johnson

  • Optometrist
  • Boise, ID
  • NPI 1568632941
  Medicare reassignment NPD
• Hollingshead Eye Center, PC

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1871643585

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1134416787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513765",
            "telephone_number": "208-467-1361",
            "fax_number": "208-467-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513765",
            "telephone_number": "208-467-1361",
            "fax_number": "208-467-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 N Linder Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "836343395",
            "country_code": "US",
            "telephone_number": "208-314-4863",
            "fax_number": "208-506-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2999",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "727",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geri'S Teeth PLLC
• Peter S Gerlach, DC
• Georgia Germain, DPT
• Andrew Geske, LMSW
• January Marie Gibbens, LMSW
• Lauren Beth Gibson, PA-C
• Grace S Gietzen, DO
• Carmin Gilbert
• Janet Lea Gilbreath, DNP, FNP, PMHNP
• Trent Belew Giles, D.O.

• Optometrist in Nampa, ID
• Providers in Nampa, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.