Active NPI
Timothy Albert Oconnor, OD
- Optometrist
- North Brookfield, MA
National Provider Identifier
1245206440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3786
- Practice address
- 355 N Main St
North Brookfield, MA 01535 - Phone
- (508) 867-3755
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3786 | MA | Primary |
Addresses
Primary practice location
355 N Main St
North Brookfield, MA 01535
Mailing address
355 N Main St
North Brookfield, MA 01535
Phone (508) 867-3755
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9777385 | Medicaid | MA | |
| MA93786 | Other | VISION BENEFITS OF AMERIC | |
| MA3786 | Other | EYE MED | |
| 043296176001 | Other | TRICARE | |
| 14021 | Other | MOC | |
| 7617 | Other | DAVIS VISION | |
| 20799 | Other | CIGNA HEALTH CARE | |
| 2634580 | Other | AETNA US HEALTH CARE | |
| W20119 | Other | BCBS | |
| 0392006 | Medicaid | MA | |
| 2203019 | Other | UNITED HEALTH PLANS OF NE | |
| 57106 | Other | TRICARE | |
| 152068 | Other | HARVARD PILGRIM HEALTH CA | |
| 5088673755 | Other | VISION SERVICE PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
355 N Main St
North Brookfield, MA 01535-2008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3786 | MA | MD | Speech-Language Pathologist |
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.
-
- Optometrist
- North Brookfield, MA
- NPI 1760456651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245206440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N MAIN ST",
"city": "NORTH BROOKFIELD",
"state": "MA",
"postal_code": "01535",
"telephone_number": "508-867-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 N MAIN ST",
"city": "NORTH BROOKFIELD",
"state": "MA",
"postal_code": "01535",
"telephone_number": "508-867-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "TIMOTHY",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9777385",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "MA93786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "MA3786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "043296176001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOC",
"identifier": "14021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "7617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "20799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH CARE",
"identifier": "2634580",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W20119",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392006",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLANS OF NE",
"identifier": "2203019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "57106",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "152068",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "5088673755",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brookfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.