Timothy Vanevery, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

TV039837 Issued in MI

Practice address

2061 M 119
Petoskey, MI 49770-8914

Phone

(231) 487-2020

Fax

(231) 487-6166

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Bay Ophthalmology, PC

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1083712079
  NPD (past) Authorized official
• North Bay Ophthalmology, PC

  dba North Bay Optical

  • Eyewear Supplier
  • Petoskey, MI
  • NPI 1881731248
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255342978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "231-487-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "231-487-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEVERY",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "TV039837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1802400101",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000020101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley T Vanassche, MD
• Hannah Sue Vandenboom
• Philip Daniel Vanderkooy, DO
• Brooke M Vandonkelaar, CCC-SLP
• Ken Vanevery, CADC
• Tanya Vanillo
• Raquel Vansickle, LLMSW
• Brad E Vazales, M.D.
• Kenneth W Verbos II, MD
• Daniel J Verburg, MD

• Ophthalmology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.