Timothy L Schneider, MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME 68823 Issued in FL

Legal business name

TIMOTHY L SCHNEIDER, MD PA

Practice address

1909 Beach Blvd
Suite 101
Jacksonville Beach, FL 32250-8608

Phone

(904) 247-5575

Fax

(904) 247-3375

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Timothy Luke Schneider, M.D.NPI 1730181983

Title

Owner

Phone

(904) 247-5575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schneider Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: tschneider@sewc.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Luke Schneider, M.D.

  • Ophthalmology Physician
  • Jacksonville Beach, FL
  • NPI 1730181983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1164744488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508608",
            "telephone_number": "904-247-5575",
            "fax_number": "904-247-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508608",
            "telephone_number": "904-247-5575",
            "fax_number": "904-247-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L SCHNEIDER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-247-5575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 68823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263753700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneider Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tides Edge Recovery Services, LLC
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• Tides Edge Recovery Services, LLC
• Ginger Tidwell, PT, DPT, ACSM-EP
• Rachell Lynn Tillman, FL MA 76980
• Bonni G. Titcomb, A.R.N.P.
• Payvand Tiurchy, M.D.
• David C Tolbert, MA, LMHC
• Jeffrey Thomas Tomamichel, D.D.S.
• Mark Christopher Tomaski, M.D.

• Ophthalmology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.