Timothy Dalley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9350T Issued in TX

Practice address

5401 McPherson Rd Ste 13
Laredo, TX 78041-6834

Phone

(956) 704-5011

NPI assigned

Sep 12, 2017

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Success Vision Express of Sand Springs, LLCGroup PAC ID 3274682927, 6 clinicians

Practice addresses (Care Compare)

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.

• Success Vision Express of Sand Springs, LLC

  • Optometrist
  • Sand Springs, OK
  • NPI 1346424637
  Medicare reassignment Care Compare group NPD
• Success Vision Express of Tulsa, LLC

  • Optometrist
  • Tulsa, OK
  • NPI 1922280965
  Medicare reassignment NPD
• Dr. Samuel Presley & Associates, Inc.

  • Optometrist
  • Tulsa, OK
  • NPI 1124264007
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1184143992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SHILOH DR APT 303W",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456888",
            "telephone_number": "918-718-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 MCPHERSON RD STE 13",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416834",
            "telephone_number": "956-704-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "TIMOTHY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9350T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D.a.N. Health Care, LLC (Alfa Home Health)
• D&V Home Health Care, LLC
• Lhaila Dacayanan
• Daily Health Services (Daily Adult Day Care)
• Daily Health Sevices, Inc. (Daily Primary Home Care)
• Heramb Ankleshkumar Dave, MD
• Dick B Davenport, D.D.S.
• Matthew Dale Davenport, D.D.S.
• David E. Garza, D.O, P.a.
• David H Cruz MD PA

• Optometrist in Laredo, TX
• Providers in Laredo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.