Individual provider Active NPI

Timothy Brooks Owens Jr., M.D.

  • Ophthalmology Physician
  • Lancaster, SC
National Provider Identifier
1154855583
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
51112 Issued in SC
Practice address
1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone
(803) 285-4333
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0116031349 VA
Ophthalmology Physician 207W00000X 51112 SC Primary

Addresses

Primary practice location

1240 Colonial Commons CT
Lancaster, SC 29720-2200

Mailing address

3925 Riverbend Rd
Charlotte, NC 28210-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607003079 SC Practitioner - Ophthalmology 2769882125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Eye Clinic P.a.Group PAC ID 4981799509, 6 clinicians

Practice addresses (Care Compare)

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51112SCMDOphthalmology Physician
0116031349VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Eye Clinic P.a. Ophthalmology CurrentSince Aug 2, 2021 Accepting new patients

Locations

1240 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 285-3333

209 S Wylie St
Lancaster, SC 29720
Phone (803) 285-4333

Interoperability endpoints

  • Direct secure messaging: elcbo@telc.emadirect.md

Organizations & group practices 1

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1154855583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 RIVERBEND RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 COLONIAL COMMONS CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202200",
            "telephone_number": "803-285-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0116031349",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "51112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.