Timothy Mason, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5731 Issued in OH

Practice address

1395 Research Park Dr
Beavercreek, OH 45432-2817

Phone

(937) 429-2270

Fax

(937) 429-5343

NPI assigned

Aug 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuttle Eye Associates IncGroup PAC ID 2365594447, 3 clinicians

Sawmill Eye Associates, Inc.Group PAC ID 6204989213, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sawmill Eye Associates, Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1114182896
  Medicare reassignment Care Compare group NPD
• Tuttle Eye Associates Inc

  • Optometrist
  • Dublin, OH
  • NPI 1114181021
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1245422005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322817",
            "telephone_number": "937-429-2270",
            "fax_number": "937-429-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322817",
            "telephone_number": "937-429-2270",
            "fax_number": "937-429-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maple Tree Cancer Alliance
• Kaitlyn Elizabeth Marker
• Gabrielle Markley
• Nicole Joanne Martinez
• Amy Mason, OT
• Judith Marie Masset-Brown, MD
• Rachel Marie Mast, D.O.
• Dale Eugene Mateer, DDS
• Matthew D Moore LLC
• Laurel Matthews, MD

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.